Application form – Community Support Program

Contact details:

Organization Name*:

Postal Address*:

ABN/ACN:

Registered for GST?*---YesNo

GST registration number:

First name*:

Surname*:

Position/Title*:

Phone*:

Email*

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

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

Key contact during the event*:

Mobile*:

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 organisation*:

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

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

What priority area does this sponsorship align to?*: (Select all that are applicable)*
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:

Community profile and audience:

What is the audience and the number of people expected to view, or participate in, the event/initiative?*

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

Why do you believe Westernport Water should sponsor this event/initiative?

Any information detailing how your organisation or event aligns with Westernport Water purpose and goals is beneficial.*

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:

What opportunities or benefits are available for Westernport Water?
Provide any marketing material and how Westernport Water’s association with the initiative/event will be promoted. Any information on the expected reach is beneficial.*

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

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:

Employee involvement:

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

Has the organisation or group had previous affiliations with Westernport Water?*
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.