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Proposed Permanent Road Closure - Portion Prizmic Street, Beeliar
11 June
Proposed Permanent Road Closure – Portion Prizmic Street, Beeliar
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Community Centre Regular Hire Expression of Interest
Community Centre Regular Hire Expression of Interest
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Community Centre Regular Hire Expression of Interest
All fields are required except where indicated
1. Applicant contact details
Organisation name:
Applicant name:
Position held:
Postal Address:
Note: street number and street name are needed for all addresses
Mobile (e.g. 0400 123 456):
Email:
Website (optional):
Second contact person (optional):
Email (optional):
Mobile (optional):
Community Centre Regular Hir
2. Details of applicant
Main aims / objectives:
Approximate number of patrons:
Is the applicant a not for profit group or a registered business?:
Yes
No
Is the applicant aware that they will be required to pay monthly facility hire fees?:
Yes
No
What opportunities would the applicant provide the local community?:
How would the applicant promote their service or program to local residents?:
What systems would the applicant develop to ensure their service or program has a long term presence at the facility?:
Will you need to store equipment at the Centre in order to deliver your service or program?:
Yes
No
Have you previously hired a room from a Local Government Authority (LGA)?:
Yes
No
Are there any barriers preventing your program or service hiring a room at the Centre?:
Yes
No
To support your application, you are encouraged to provide the following documentation (where applicable and available):
Strategic or business plan
Copy of your constitution
Any additional information that supports your application
Additional documentation (Optional):
3. Booking details
Please enter times for each day required, for example: Monday Session 1: 9:00am to 12:00pm:
Which facility would you like to hire? If a facility has more than 1 room, please specify which room:
4. Additional comments
Any additional comments to support your application? (optional):
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