Pirrku Kuu Hub EOI

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Primary Applicant Details

* indicates a required field.

Applicant & Eligibility

For the purpose of this application the individual named above should be considered the applicant. The organisation may be used as the contracting entity for any grant funding if applicable.
Is the applicant an Australian citizen or permanent resident aged 18yrs or older? * Required
Response required.
If your answer is no to this question you are not eligible to apply - see the SAFC Terms of Trade.
Is the Applicant a South Australian resident (as defined below)? * Required
Response required.
Resident South Australians are defined as individuals who meet all of the following criteria: their principal place of abode is in South Australia; they are professionally based in and carry on their business in South Australia; they are registered on the state electoral roll for at least six months prior to the date of this application. If your answer is no to this question you are not eligible to apply - see the SAFC Terms of Trade.

Applicant Contact Details

Must be an email address. 
Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required. Country must be Australia 

Demographic Characteristics - Applicant

This information will be used to inform SAFC of this individual's membership of under-represented groups if the individual wishes to identify as such. There is always an option to choose 'prefer not say' or to not answer the question. SAFC respects individuals privacy. Any personal information which it collects will be used and disclosed by SAFC so that it can provide the services requested, or otherwise to enable it to carry out its functions. Please see SAFC’s website for further details of its privacy policy: https://www.safilm.com.au/about/privacy-policy/ 

Please use the 1st of January rather than exact date.
Does this person identify with any of the following groups? * Required
Response required.Response required.
Clear the selected value for Does this person identify with any of the following groups?
Please select at least one choice.
200 word maximum
Attach a file: Select stored file
    What is your role? * Required
    Response required.
    Clear the selected value for What is your role?
    Does this person's gender identity match their registered sex at birth? * Required
    Response required.
    What is this person's gender? * Required
    Response required.
    Clear the selected value for What is this person's gender?
    This does not need to match their registered sex at birth.