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Application

New Application for Gladstone

Eligibility Questionnaire
Category Selection
Programme Details
Organisation Details
Self Assessment
Summary & Confirmation

Eligibility

Are you a local, state or federal government owned or operated entity?

Yes No

Please disclose which level of government you are owned or operated by?

Do you, or any of your organisation's members, have a conflict of interest (real or perceived) with Rio Tinto or any of its entities including QAL

Yes No

Please declare any conflict(s) of interest

Are you seeking support for an individual?

Yes No

Are you a political organisation?

Yes No

Does your organisation make distinctions with respect to race, religious belief, gender or sexual orientation?

Yes No

Is your project outside the Gladstone region?

Yes No

Privacy & Permission

I have read and agree with the Privacy Policy.

I am an authorised person and permitted to apply for funding on my organisation's behalf.

I accept that I will answer honestly and to the best of my knowledge/ability.

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