Application form – Community Support Program

Contact details:

Organisation Name*:

Organisation type: (select one)*
---Incorporated not-for-profit community organisationManagement committeeVolunteer GroupSporting ClubPreschool, Primary or Secondary School

Postal Address*:

ABN/ACN:

Registered for GST?*---YesNo

GST registration number:

Key contact - Name*:

Key contact - Position/Title*:

Key contact - Phone*:

Key contact - Email*

Provide a detailed description of your organisation*:

About the project, initiative or event/:

Name of project, initiative or event*:

Address of project, initiative or event*:

Is it situated in Westernport Water’s service area?*---YesNo - Sorry we can not sponsor your event or project

Key contact during the event (if different to above):

Mobile (if different to above):

Date of project, initiative or event*

Start time*

Finish time*

Project/initiative/event overview:

Sponsorship category sought: (Select one)*
---Financial support for eventFinancial support for projectPermanent water station applicationChoose Tap (e.g. merchandise or Hydration Kit for sports club)In-kind support

Provide a detailed description of your project, initiative or event*:

Description of sponsorship sought*:
Please provide a description of what you are requesting through this sponsorship and the level of sponsorship proposed (e.g. naming rights, event sponsor)?

If you are requesting financial support, please specify amount sought below. Please note the maximum amounts available for financial support for:
- Events = up to $1,000
- Projects = up to $3,000
- Permanent Water Stations = up to $3,000 (Co-contribution may be required)

We believe it is important that the initiatives and projects we support make a significant impact to our region and build positive change in our local communities. We will offer consideration to sponsorship applications that:
1) align with our purpose to deliver water and sewerage services
2) are associated with the three key themes (healthy people, healthy communities and healthy planet)
3) aligns with at least one of the following six categories, (examples can be found on the FAQ's PDF):

(Select all that are applicable to your project or event)*
water and wastewater literacy and educationwater conservationenvironmental wellbeing / sustainabilityhealth and liveability of our communitysocial wellbeing of our communitycultural heritage / Aboriginal water valuesOther
If other please provide details:

Why do you believe Westernport Water should sponsor this event/initiative?
Any information detailing how your organisation or event aligns with Westernport Water purpose, 3 key themes and the six subjects is beneficial (listed above).*

Community profile and audience:

Who is the audience of the event/initiative?*

What are the key goals or outcomes you hope to achieve with the event/initiative?*

Event details:

If you are requesting sponsorship of an event, please answer the following questions:

How many people are expected to attend the event?

Is the event open to the public to attend?---YesNo

Would you like to book our Hydration Station (trailer) or Portable Water Fountains for your event?---YesNo

Is town drinking water available?---YesNo

Does the organiser have a public liability insurance policy with a limit of not less than $10,000,000?---YesNo

Sponsorship benefits:

Sponsorship recipients will be required to acknowledge Westernport Water’s sponsorship/support. The acknowledgement must comply with Westernport Water’s Brand and Style Guide and clearly indicate the support for the sponsored activity. (See Terms and Conditions)

What marketing opportunities or benefits are available for Westernport Water if we support your event or project?
Describe how Westernport Water’s association with the initiative/event will be promoted. Any information on the expected reach of the event or project is beneficial.*

Is media coverage expected in:
Media e.g. papersSocial mediaNewslettersOther
If other please provide details:

Will the Westernport Water logo appear on any of the following:
Brochures / programsWebsiteSocial mediaPresentations / PowerPointsOther
If other please provide details:
Please upload any existing or drafted marketing material*

I have uploaded documentation to support this agreement.*---YesNo

Outline how the initiative or event will provide benefits to the communities in which Westernport Water operates:*

Westernport Water involvement:

List any opportunities for Westernport Water employees to be involved in the sponsorship initiative/event*:

Have you received Sponsorship support from Westernport Water in the past 12 months?*
If so, please provide details:

Please list any other sponsors or media partners that are involved:

How do you plan to measure the success of this activity?*:

Any other details or comments:

If you have supporting documentation (e.g. prospectus, cover letter, flyer or business case), please submit this form and then send the documentation to communications@westernportwater.com.au.

Declaration:*

By ticking this box, I declare that to the best of my ability the information provided in this application is true and correct and I am authorised to submit it on behalf of my organisation.

Please leave this field empty.