Submit your idea

*Denotes a mandatory field

Video pitch
Upload your video to YouTube and select 'unlisted' in the video's privacy settings so that your video is only accessible to people with the direct link.
Full instructions here
 
Please note: If you're unable to send us a YouTube link, type "Video will be sent externally" in the field above and send your video file to physicalactivity@vichealth.vic.gov.au using a file transfer service such as Dropbox.

I declare that the information in this pitch is my own original work.

Eligibility and compliance

I have read the 2015/16 VicHealth Physical Activity Innovation Challenge Guidelines and agree to the Terms and Conditions.

I believe my organisation meets the definition of a sporting body as outlined in the Terms and Conditions.

My proposed idea will take place in Victoria, Australia.

My organisation has a bank account for Electronic Funds Transfer (EFT) of grant funds.

My organisation is not subject to any current or impending legal action which could impact on the financial viability of the organisation.

Project Summary
In 10 words or less, please provide a meaningful title for your Idea.
 
In 75 words or less, share a brief summary of who your idea is for and what it is.
 
In 20 words or less, give us a straightforward explanation of how your project will function.
 
In 50 words or less, give us specific examples of the target customer and any insights you've gathered/research you've done.
 
In 75 words or less, include their details (name and organisation) and their contributions, skills, experience.
 
Be sure to tell us about the timeline and how quickly you want to achieve this outcome. (50 words maximum)
Organisation details
Project contact