Community Sponsorship Program Application Form
Terms & Conditions
To being please review the Privacy Statement & Community Sponsorship Program Guideline.
Initiative Details
Please complete the following for the application.
Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Which Community Sponsorship Program are you applying for?
*
Coorong District (SA)
Mid-Western Region (NSW)
Western Downs Region (QLD)
Community Initiative
*
Organisation or Sponsorship Recipient
*
ABN or ACN
Point of Contact
*
Contact Number
*
Contact Email
*
Provide a detailed description of your proposed initiative
*
Which focus area/s of our CSR policy apply to the community initiative?
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Environmental Conservation
Community Wellbeing
Infrastructure Development
How does your community initiative demonstrate alignment with the CSR focus area/s?
*
What are the direct and indirect community benefits of your initiative and how do they support local needs?
*
How many beneficiaries do you estimate your initiative will support?
*
Can you provide details on the proposed roll out strategy and delivery timeframe of the initiative?
*
Are any 3rd parties to be involved in the initiative?
*
Can you confirm the funding amount for your initiative in AUD?
*
Upload supporting documents; proposal materials or quotes for procuring goods and/or services
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Note: if supporting materials are still being collated, please save this application for a later submission by using the 'Save' button below.
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Any community initiatives requiring support for goods and/or services must provide supporting quotes. Can you please acknowledge that these have been provided?
*
Yes
No
Note:
Note: if supporting materials are still being collated, please save this application for a later submission by using the 'Save' button below.
Do you declare that all information provided in the application is true and to the best of your knowledge?
*
Yes
No
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