Sponsorship Application Form

Organisation details

Form Guidelines

Name

Charity no. (if applicable)

ABN (if applicable)

Registered address

Town/City

State/territory

Postcode

Purpose of the organisation

Age of the organisation:

Does your organisation identify as Indigenous?

Note: This refers to whether your organisation is Indigenous-led, owned, or affiliated with Indigenous peoples or communities

YesNo

Area of support (select one) Community Health and Wellbeing (includes Sport)EnvironmentEducation, Training & EmploymentEconomic Prosperity & Resilience

Applicant details

Name

Position and organisation

Phone

Address

Town/City

State/territory

Postcode

Sponsorship information

Sponsorship amount requested

Date and duration of sponsorship request

Use the table below to show an itemised listing for your sponsorship request

Summary of request (please try and contain to 40 words or less)

Geographical impact/location

What level of sponsorship is Whitehaven being asked to provide
(e.g. primary sponsor, joint sponsor):

Which other sponsors are involved?

Please outline why you are applying for a sponsorship from Whitehaven.

Who is the target audience of your initiative? Who will benefit from this sponsorship?

How would your initiative benefit by Whitehaven’s involvement?

How would Whitehaven benefit from the association?
Please include how Whitehaven’s support would be promoted.

How would the sponsorship be measured and evaluated for effectiveness?

Please share more information about your organisation if you wish.