Wufoo

AWF PRO BONO DESIGN SERVICES APPLICATION FORM

To apply for design assistance please fill out this form.

Project Name
Project Location
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name and contact details of organisation applying for service
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number
Email
Web Site
Name of organisation representative
Phone Number
Email
Other Project Partners
Maximum Allowed: 100 characters. Currently Used: 0 characters.
Who are the stakeholders and community groups to be involved and assisted in the project?
PROJECT DESCRIPTION
Client
Proposed building use (please provide as much detail as possible)
Specific functions
Approximate site and built area
Budget (if known)

$AU or local denomination
Required Completion Date DD / MM / YYYY
How is the project proposed to be constructed (eg. building contractor, local community, building users)
PROJECT BACKGROUND
Current development, economic, health, security issues in the project location.
What assistance do you require from AWF?
Design Documentation Community Consultation Reports
Who owns the land on which the proposed project is to be built?
Do you have a copy of the title?
Yes No
Do you have a current survey of the site?
Yes No

Approvals
	Yes	No	documentation supplied	details supplied below
1. Do you have the land owners permission to build on the site?	1	2	3	4
2. Will the project require approval by authorities?	1	2	3	4
3. Will the project require approval by funding bodies or project partners?	1	2	3	4
4. Has any type of community consultation been carried out?	1	2	3	4

Please upload documentation available
Please supply details
FUNDING - Has partial/full funding been secured for the project? Please supply details.
Are you able to fund any costs incurred by AWF members in the execution of their role? (eg air fares and accomodation costs)
Are there any professionals - builders, engineers, surveyors - involved in the project? Please provide details.
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