For Purpose Impact Accelerator Hub Expression of Interest - Desk Licence (12+ Months) Question Title * 1. Your contact details Name Email Address Phone Number Question Title * 2. Organisation name Question Title * 3. Date organisation established Question Title * 4. Is your organisation a charity? Yes No Question Title * 5. If no, is your organisation not for profit? Yes No Question Title * 6. What is your organisation's ABN? Question Title * 7. Is your organisation Melbourne-focused? Yes No Question Title * 8. Does your organisation have a Victoria-wide focus? Yes No Question Title * 9. Does your organisation have a national focus? Yes No Question Title * 10. What is your organisation's purpose? Question Title * 11. Number of desks required 1 2 3 4 5 6 7+ If you selected 7+, please provide more information about your needs Question Title * 12. For each desk, please indicate whether you require it for 1-5 days per week One day per week Two days per week Three days per week Four days per week Five days per week Desk 1 Desk 1 One day per week Desk 1 Two days per week Desk 1 Three days per week Desk 1 Four days per week Desk 1 Five days per week Desk 2 Desk 2 One day per week Desk 2 Two days per week Desk 2 Three days per week Desk 2 Four days per week Desk 2 Five days per week Desk 3 Desk 3 One day per week Desk 3 Two days per week Desk 3 Three days per week Desk 3 Four days per week Desk 3 Five days per week Desk 4 Desk 4 One day per week Desk 4 Two days per week Desk 4 Three days per week Desk 4 Four days per week Desk 4 Five days per week Desk 5 Desk 5 One day per week Desk 5 Two days per week Desk 5 Three days per week Desk 5 Four days per week Desk 5 Five days per week Desk 6 Desk 6 One day per week Desk 6 Two days per week Desk 6 Three days per week Desk 6 Four days per week Desk 6 Five days per week Desks 7+ Desks 7+ One day per week Desks 7+ Two days per week Desks 7+ Three days per week Desks 7+ Four days per week Desks 7+ Five days per week Question Title * 13. Are the desks to be used by Your whole organisation A division of your organisation A program of your organisation Question Title * 14. Please provide more information in relation to the above (50 words) Question Title * 15. Please indicate if your organisation is addressing one or more of the following areas (select as many as applicable) Homelessness Affordable housing Sustainable food systems / food security Social enterprise (especially work integrated social enterprise) Jobs and skills in the next economy Inclusive and/or regenerative economy Climate change - reducing emissions, climate transitions Climate resilience - including health impacts of climate change, disaster response, community resilience NFP / charity sector capacity building Social entrepreneurship NFP leadership Other (please outline in up to 50 words) Question Title * 16. Please provide a brief summary of your organisation's activities in relation to the area/s selected above (250 words maximum) Question Title * 17. Is your organisation committed to innovation and fresh thinking? Yes Somewhat No If yes, please provide an example of your approach (100-250 words maximum) Question Title * 18. Is your organisation committed to cross-sector collaboration? Yes Somewhat No If yes, please provide a brief recent example (100 words maximum) Question Title * 19. Is your organisation committed to supporting start ups? Yes Somewhat No If yes, please provide a brief example (100 words maximum) Next
