Expression of Interest Expression of Interest CLOSED for 2023 Organisation Name Contact First Name Last Name Role Email Phone (###) ### #### 1. Applying for B.I.G. Change or B.I.G. Future Grant Change Future Both 2. Organisation ACNC Link 3. Organisation based in Australia Yes No 4. DGR Status Yes No 5. Was your total income for the last financial year between $500,000 - $50 million? Yes No 6. Does your organisation work to reduce inequality in Australia and/or Asia-Pacific region? (B.I.G. Change Only) Yes No 7. If you answered 'No' to any of the questions above, please provide clarification here. 8. Please provide your organisation's mission statement 9. Please identify the SDG(s) your organisation addresses 10. Please identify which target of SDG 10 your organisation addresses (B.I.G. Change Only) 11. Please be more specific about what this grant will be used for (150 words max) 12. Explain how this grant would have a direct impact on policy, advocacy, law reform and changes existing systems or structures (150 words max) Thank you for submitting an Expression of Interest to the Barlow Impact Group. We will be in touch with an outcome before November 4th.