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2025 IMPACT Philanthropy Application Program

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This is a preview of the 2025 IPAP Application form. When you’re ready to apply, click Fill Out Now to begin.

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1. ORGANISATION INFORMATION(Not Applicable)
2. ORGANISATION INFORMATION(Not Applicable)
3. PROJECT INFORMATION(Not Applicable)
4. FINANCIAL DETAILS(Not Applicable)
5. HEALTH AND MEDICAL RESEARCH ONLY(Not Applicable)
6. BANK ACCOUNT DETAILS(Not Applicable)
7. USE OF INFORMATION AND CERTIFICATION(Not Applicable)

ORGANISATION INFORMATION

* indicates a required field.

IMPACT Philanthropy Application Program Guidelines 2025

Response required.

I confirm that I have read and understood the guidelines (above) prior to completing this form.

Clear

1. Organisation details (Not Applicable)

Organisation *

ABN *

The ABN provided will be used to look up the following information.

Click Lookup above to check that you have entered the ABN correctly.

Information from the Australian Business Register
ABN
Entity name
ABN status
Entity type
Goods & Services Tax (GST)
DGR Endorsed
ATO Charity Type	More information
ACNC Registration
Tax Concessions
Main business location

Please ensure your ABN and details listed above are correct as we will use this information to confirm your eligibility, including your charitable tax status and ACNC registration. Perpetual will not be responsible for any incorrect data.

Street Address *

Return to address search

Address line 1

Address line 2

Suburb/Town	State/Province	Postcode

Country

Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required.

Phone (business hours) *

Must be an Australian phone number.

General email *

Must be an email address.

Website *

Must be a URL.

1.1 Head of organisation details (CEO, Head of Department / School, Director of Institute etc) (Not Applicable)

This contact will be used to communicate the outcome of this application and, if successful, for ongoing communications relating to the grant, including acquittal reporting. If the contact changes, please notify us at philanthropy@perpetual.com.au

Name *

Title	First name	Last name

Position *

Email *

Gender: How do you identify? *

Response required.

1.2 Chair details (Not Applicable)

Name *

Title	First name	Last name

Email *

Gender: How do you identify? *

Response required.

1.3 Chief Finance Officer details (Not Applicable)

Name *

Title	First name	Last name

Email *

Gender: How do you identify? *

Response required.

1.4 Applicant details (Not Applicable)

Name *

Title	First name	Last name

Position *

Phone (business hours) *

Email *

Gender: How do you identify? *

Response required.

1.5 What is the organisation's mission statement? *

Word count:

Word limit of 50 words.

I confirm the organisation is a going concern (can continue to operate on a financially viable basis into the foreseeable future). *

Response required.

Yes

Clear

I confirm the organisation is not under administration. *

Response required.

What is the gender composition of your organisation's Board?

% Female *

% Male *

% Gender diverse / Non-binary *

Total (must equal 100%) *

This number/amount is calculated.

Is your board remunerated for services provided (outside of expense recovery)? *

Response required.

Yes

Clear

No more than 1 choice may be selected.

Provide a percentage breakdown of how revenue is generated by your organisation (must equal 100%)

(If an error occurs, please remove the % sign)

Government % *

Trusts and Foundations % *

Corporate / Sponsorship % *

Direct fundraising % *

Membership fees % *

Investment income % *

Bequests % *

Other % *

Total %

This number/amount is calculated.

What is your charity size? *

Response required.

Small

Medium

Large

Clear

As classified by the ACNC.

What is the annual revenue generated by the organisation?

As per financial statements.

How many people work within the organisation (paid)? *

Include part-time & casual staff.

How many people work within the organisation (active volunteers)? *

Has the number of active volunteers within the organisation increased or decreased over the last 3 years? *

Response required.

2025 IMPACT Philanthropy Application Program

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ORGANISATION INFORMATION

1. Organisation details (Not Applicable)

1.1 Head of organisation details (CEO, Head of Department / School, Director of Institute etc) (Not Applicable)

1.2 Chair details (Not Applicable)

1.3 Chief Finance Officer details (Not Applicable)

1.4 Applicant details (Not Applicable)

Non-Profit and Philanthropy Advice