Community Support sponsorship application form

Name of Organization/Group or Individual applying for funding*

Primary Contact Details*

Title First Name Surname

Postal Address*

Street Address Line 2 (optional) Suburb State Postcode

Phone*

Fax

Email*

Signature of Applicant*

If your application for funding is successful you will be required to:

Make an appropriate level of acknowledgement of the funding source.
Complete an evaluation form at the end of the project.

Has your organization received financial support from Strathfield Sports Club before?*

Yes

No

In what year, for what purpose and how much?*

Have you or your organization received financial support from any other club before?*

Yes

No

In what year, for what purpose and how much?*

Please provide a short outline of your project/ reason for sponsorship*

What you are going to do or provide. e.g. details of your event, service, product etc.

Briefly summarise what your organization does*

e.g. what is the purpose of your organisation, what special groups are you involved with etc.

What local need does your project address?*

Who will be the main beneficiary/target group/client group for the project?*

Please be specific (e.g. men, women, children with learning difficulties).

How will you monitor and evaluate this project?*

ABN*

GST Status*

Is your organization not for profit?*

Yes

No

What is the total amount of funding / sponsorship you are seeking?*

Do you have any supporting documents to attach?*

Yes

No

Upload Supporting Documents*

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx, xlsm, odt, ods, ppt, pptx, txt, Max. file size: 90 MB, Max. files: 6.

Bank Account Name*

BSB*

Account Number*

You will be notified in writing as to the outcome of the application.

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Name

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Community Support sponsorship application form

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