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DOER REGISTRATION FORM

Impact Seekers

Step 1 - Lisiting Type

Type of listing

Step 2 - Contact Information

Name

Position

Organisation

ACN/ABN

Email

Phone/Mobile

Website

Social Platform Links

Step 3 - Locations

Postal Address

Street

Street 2

Suburb

State

Post Code

Social Impact Location

(Please tick all that apply to the project)

NSW

NT

QLD

SA

VIC

WA

TAS

National

Rural, Regional & Remote

Metropolitan City

International

Step 4 - Social project or social cause overview

Organisation entity type

(Please tick all that apply)

Project name

The Vision

In your own words, describe what you do (500 words max).

What results do you measure?

What is your biggest challenge?

Current partners or private investors? If yes, please specify

Social Interest Area

(Please tick all that apply)

What is most needed to achieve your vision?

Desired partnership size

Registered Charity

Not for profit

Public Benevolent Institution

DGR Status Held

Social Enterprise

Social Business

Addictions

Arts & Culture

CALD

Carers

Disability

Domestic Violence

Education

Environment & Animals

First Australians

Health

Housing and homelessness

LGBTQI

Older People

Parenting

Rural and remote

Social Enterprise

Woman

Youth

Start up Capital

Impact Investing

Low/ No Interest Loans

Private Equity

Loan Underwriting

Social Procurement

Business Mentorship

Infrastructure & Equipment

Networks & Contacts

Media & Publicity

Gifts & Donations

ProBono Services

Sponsorship

Open to Anything

People Power

Step 5 - Uploads

Supporting documents

Select File

Action photo (jpg or png)

Select File

Video story (under 5 mins)

Program Budget

Select File

Step 6 - Review & Submit

I have  read and agree to the terms and conditions of my submission.

Your details have been submitted

Please fill out as much information as possible.

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