THE Seed Scheme Regional Australia Bank Town EOI 2020

Are you representing a (choose one) *

Town

Village

Community

Local Government Area

Regional centre

Regional city

Language group

Other

What is the name of the area you are applying on behalf of? *

What is the population of the area you are applying on behalf of? *

If there is more than 1 town in the area you are applying on behalf of, please list them here. If not please write N/A *

What is the postcode/postcodes of the area you are applying on behalf of *

Would you consider the area you are applying on behalf of as *

Rural Regional Remote

What kind of businesses do you think need support - or would we unearth, in your area? *

Do you feel confident we will be able to easily fill 10 sponsored memberships for women in the area you are applying on behalf of? *

Yes No Unsure

Which of these best describes you *

Passionate community member

Volunteer

I'd like to be a Seed Scheme Sponsored business woman

Local government employee

Councillor/Mayor

Business Owner

Other

Are you interested in being contracted as the POD Faciliator *

Yes No

Overseeing the successful running of your local POD (and other PODS if you choose) will include at least three structured meetings and ensuring pod members are using the RW website and having regular catch-ups themselves (you do not need to attend). This is a paid role.

Primary Contact

First Name *

Last Name *

Email Address *

Phone *

In 100 words OR a 2 min video (please provide vimeo or youtube link) pitch to us what amazing women and business/ideas/opportunities will we unearth and be able to provide scholarships to support through THE Seed Scheme? *