​BMRRR CAMS Hub Expression of Interest​

    Organisation Information

  • Q.1

    Organisation name:

    *
    Character limit : 250
  • Q.2

    Applicant Name:

    *
    Character limit : 250
  • Q.3

    Your position:

    *
    Character limit : 250
  • Q.4

    Contact phone number:

    *
    Character limit : 150
  • Q.5

    Contact Email Address:

    *
    Character limit : 250
  • Q.6

    Please select the option that best describes your organisation: 

    *
    Incorporated sporting club or association
    School or education provider
    Community or not-for-profit organisation
    Health, wellbeing or community service provider

    Other (please specify)

    (Max Character Limit : 500)
  • Q.7

    Is your organisation incorporated or otherwise legally constituted? 

    *
    Yes
    No
  • Proposed use of the CAMS Hub

  • Q.8

    Please describe how your organisation would like to use the Hub:

    *
    Character limit : 1200
    (max. 150 words)
  • Q.9

    Please select the type(s) of use that best align with how your organisation would like to use the Hub from the options provided:

    *
    (Maximum selection limit : 5)
    Training
    Competition
    Program delivery (e.g. education, coaching, wellbeing)
    Community events or activities
    Casual/non-affiliated participation

    Other (please specify)

    (Max Character Limit : 500)
  • Q.10

    How will your activity or program help more people take part in sport, recreation, physical activity or community life in Moorabool Shire? 

    *
    Character limit : 1500
    Please include estimated number of participants per week/month and whether participation is expected to grow over time (max. 250 words).
  • Q.11

    Who will primarily participate in your proposed use? 

    *
    Moorabool Shire residents
    Mix of local and regional participants
    Primarily non-local participants
  • Q.12

    Will your proposal help make participation easier or more welcoming for any of the following groups? (Select all that apply)

    *
    (Maximum selection limit : 5)
    Women and girls
    Children and young people
    Older adults
    People with disability
    Culturally diverse communities
    Aboriginal and Torres Strait Islander communities
    Disadvantaged or low-income participants
    General community/casual users
  • Q.13

    Please tell us how your proposed use will: 

     - Share the facility with other users where possible 

     - Use off-peak times where possible 

     - Reduce clashes with other users 

    *
    Character limit : 1500
    (max. 200 words)
  • Q.14

    What local need, gap or demand would your activity or program help address? 

    *
    Character limit : 1200
    (max. 100 words)
  • Q.15

    Will your proposal introduce new or under-represented activities at the facility? 

    *
    Yes
    No
  • Q.16

    Do you currently partner with, or propose to partner with, any of the following? (Select all that apply)

    *
    (Maximum selection limit : 5)
    Schools
    Other sporting clubs
    Health or wellbeing providers
    Community or not-for-profit organisations
    Council or government agencies

    Other (please specify)

    (Max Character Limit : 500)
  • Frequency and duration of use

  • Q.17

    Days requested (select all that apply):

    *
    (Maximum selection limit : 7)
    Monday
    Tuesday
    Wednesday
    Thursday
    Friday
    Saturday
    Sunday
  • Q.18

    What approximate times would your organisation use the space? (select all that apply)

    *
    (Maximum selection limit : 3)
    Weekdays, during business hours (9am-5pm)
    Weekdays, evenings (5pm-11pm)
    Weekends

    Other (please specify)

    (Max Character Limit : 500)
  • Q.19

    How many sessions per week/month? (approximate number of sessions)

    *
    Character limit : 250
  • Q.20

    What is the approximate duration of the sessions?

    *
    Character limit : 250
  • Enter the code as below. *
    Reload