Crew Development Program - Mentors

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This is a preview of the Crew Development Program - Mentor Form form. When you’re ready to apply, click Fill Out Now to begin.
 

Vendor Detail Information

* indicates a required field.

For the purpose of contracting and payment, we refer to the vendor as the company or individual that will receive the funds. 

Please note that any changes to the registered company name, ABN or bank account details will require resubmission of this form and re-verification of the vendor.

Has the vendor received previous funding from Screen NSW? * Required

Vendor Contact Information

The below information must reflect the CDP Mentor Agreement, including the Company/Individual receiving the funds.

Use the arrow keys to navigate suggestions. Press Enter to select a suggestion. Start typing a name or address to see prefill options.
Must be an Australian phone number. 
Must be an email address. 
Must be an email address.
Do you have an ABN? * Required

This section is not applicable because of your response to question: "Do you have an ABN?" on page 1

The ABN provided will be used to look up the following information.
Click Lookup above to check that you have entered the ABN correctly.
Australian Business Register Information
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
Must be an ABN. 

Statement by a Supplier Form (Not Applicable)

This section is not applicable because of your response to question: "Do you have an ABN?" on page 1

If you do not have an ABN, please download and complete this 'Statement by a supplier' form and upload it below.

Upload your 'Statement by a supplier' form here * Required
Upload new fileSelect stored file

    Vendor Account Details

    Bank Account * Required
    Must be a valid Australian bank account format. The account name provided here must match the bank account name in the supporting financial documentation provided.
    Please attach a copy of a recent bank statement here. * Required
    Upload new fileSelect stored file
      Please redact all financial amounts. If your statement is undated you can redact all amounts but leave transaction dates visible to confirm the document is from the last 3 months.

      You do not have to show transaction details, however, the statement must:

      • Be for an account in the name of account holder/vendor
      • Clearly show the BSB, account number and name of the account holder/vendor
      • Be a statement on a financial institution letterhead
      • Not be an online transaction list
      • Be within the last 3 months
      • Bank details i.e. Bank name, bank account, BSB must match supporting financial documentation provided i.e. Bank name entered must match Bank name on Bank Statement.

      Please redact/mask financial amounts on bank statements.

      Alternatively, if you do not have a statement, please attach a signed letter from your bank that includes your banking details.

      Mentor Department

      Department * Required
      Response required.
      Clear the selected value for Department
      Please ensure this question is answered as “Crew Development Program Mentor (non-grant)