This Expression of Interest form is the first step towards a potential partnership with SVA. Please read the following three points BEFORE you complete the form.
SVA only supports specific kinds of organisations. To find out whether your organisation is eligible for support, please make sure you have first read the self-assessment form.
If you have answered YES to all the self-assessment criteria, please complete the following short online form. This information helps us to understand where there might be a fit between SVA and your organisation and gives us some additional background before we get in touch.
We anticipate that it will take you approximately 30 minutes to complete this form. To ensure that is this not a time intensive process for you, we have set maximum character limits for most questions.
Once you have submitted this form, SVA will contact you within one month to provide feedback.
Fields marked with an * are mandatory
Organisation Details
Please remember your organisation needs to be Australian based to be eligible for support.
* Organisation name:
* Strategic Interest Area:
* Legal status:
* ABN Number:
DGR status:
Yes
No
DGR registration number:
* Year established:
* Address:
* City/Suburb:
* State/Province:
* Postcode/Zip:
* Country:
* Website:
Contact Details
* First name:
* Last name:
* Job title:
* Email:
* Email type:
* Work phone:
* Mobile:
* Preferred phone:
Fax:
Organisation Activity
Please remember your organisation needs to be education and/or employment focused to be eligible for support.
* 1. Describe the primary purpose and key strategic objectives of your organisation. (Limited to 750 characters)
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* 2. Describe your main activities or program. (Limited to 500 characters)
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* 3. Who is your target audience? (Limited to 250 characters)
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Leadership & Governance
* 4a. How many staff work at your organisation (paid)?
* 4b. How many people volunteer at your organisation (unpaid)?
5. Please provide the following information about your organisation’s key staff:
5a. Please provide the name of your Chief Executive Officer, some information about their background and vision for the organisation. (Limited to 500 characters)
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5b. Please provide the name of your Chair and some information about their background. (Limited to 500 characters)
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5c. Please provide the name of your Chief Finance Officer and some information about their background. (Limited to 500 characters)
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Other relevant professional advisors (if applicable):
5d. Please provide the name of a professional advisor and some information about their background. (Limited to 500 characters)
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5e. Please provide the name of a second professional advisor and some information about their background. (Limited to 500 characters)
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* 6. Describe the governance of the organisation. (Limited to 500 characters)
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7. Describe the key processes and infrastructure in place, under the following headings:
* 7a. Strategic and business planning: (Limited to 500 characters)
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* 7b. Marketing & fundraising: (Limited to 500 characters)
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* 7c. Administration support infrastructure: (Limited to 500 characters)
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* 7d. HR & finance: (Limited to 500 characters)
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7e. Other infrastructure (if applicable): (Limited to 500 characters)
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Social Impact
* 8. Please summarise the social impact of your organisation, breaking your answer down into a range of measurable social outcomes and the depth and breadth of your impact (e.g. number of people placed into employment or number of children supported to remain in school).
(Please note that in order for your application to be successful, the social impact of your organisation must align with SVA’s strategic objectives): (Limited to 750 characters)
Character count:
Financial Details
* 9. Briefly describe your current financial position: (Limited to 500 characters)
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* 10. How is your organisation funded? (Limited to 500 characters)
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11. Please breakdown the organisation’s last year’s annual income in percent, by the following types:
* Percentage of income from funders:
* Percentage of income from government:
Percentage of income from trade revenue (if applicable):
Percentage of income from other sources (if applicable):
* 12. How much funding have you/will you contribute to the development of the organisation?
Barriers/Opportunities
* 13. Please outline the current barriers to growth or opportunities to be developed by your organisation? (Limited to 500 characters)
Character count:
Support
* 14. Please outline the amount of financial investment your organisation requires to meet its objectives:
* 15. Please outline the amount of financial investment requested from SVA:
* 16. Over what timeframe are you looking for support?
* 17. Would you consider alternative forms of investment in your organisation (loan, patient loan, social capital notes etc)?
Yes
No
If yes, please specify what type of alternative investment:
Loan
Patient Loan
Social Capital Notes
* 18. Please outline your ‘wish-list’ for non-financial support for your business. This may include business planning advice, IT support, marketing, legal, accounts etc? (Limited to 500 characters)
Character count:
Other
* 19. Where did you hear about SVA?
If Other has been selected, please specify here:
* 20a. Have you been in contact with a member of SVA's staff in the past?
Yes
No
20b. If yes, please provide their name:
Fields marked with an * are mandatory. If this form does not 'Submit', please scroll up and make sure that all of the fields are complete. Empty fields will be marked in red.
