Community Sponsorship Program Ad Hoc Application - 2018/19 The Community Sponsorship Program has been developed to provide funds to assist community based organisations within the Shire of Broome for the development of social, cultural, economic, recreational, environmental, and reconciliation projects and initiatives that benefit the local community. Ad Hoc Sponsorship is available to a maximum of $1,000 and is at the discretion of the Chief Executive Officer, subject to funds being available. Requests for `in-kind' contributions will not be accepted however organisations may apply for the equivalent cost. Venue Hire Sponsorship is available to support community groups with the cost of hiring a Shire owned venue or public property. Venue hire sponsorship is subject to venue availability and relevant event permits and approvals. Any organisation that has received Sponsorship in the Annual funding round is not eligible for Ad Hoc Sponsorship during the same year. Organisations may only receive one Ad Hoc Sponsorship each financial year. Please make sure you submit your application at least 4 weeks before you require sponsorship. The Shire of Broome will endeavor to provide support to projects, activities and events that are consistent with the values and strategies contained within the Shire of Broome Plan for the Future. Which category does your project address? (please tick all that apply) Social and Cultural Development Natural Environment Reconciliation Economic Development Sport and Recreation Are you applying for sponsorship for the cost of venue hire for a Shire owned facility? Venue: PART A – ORGANISATION Name of Organisation: Postal Address: Contact Person: Position: Phone: Mobile: Email: ORGANISATIONAL PROFILE Is your organisation incorporated? Yes No If no, a sponsor organisation may be nominated to be responsible for the legal contractual arrangements and holding bank accounts in this name. Documentation acknowledging this arrangement must be attached. Name of sponsor organisation (if applicable): Does your organisation or sponsor organisation have an ABN? Yes No ABN number (if applicable): Is your organisation registered for GST? Yes No Does your organisation operate on a not for profit basis? Yes No Has your organisation received sponsorship from the Shire of Broome in the last 12 months? Yes No
Community Sponsorship Program Ad Hoc Application - 2018/19 The Community Sponsorship Program has been developed to provide funds to assist community based organisations within the Shire of Broome for the development of social, cultural, economic, recreational, environmental, and reconciliation projects and initiatives that benefit the local community. Ad Hoc Sponsorship is available to a maximum of $1,000 and is at the discretion of the Chief Executive Officer, subject to funds being available. Requests for `in-kind' contributions will not be accepted however organisations may apply for the equivalent cost. Venue Hire Sponsorship is available to support community groups with the cost of hiring a Shire owned venue or public property. Venue hire sponsorship is subject to venue availability and relevant event permits and approvals. Any organisation that has received Sponsorship in the Annual funding round is not eligible for Ad Hoc Sponsorship during the same year. Organisations may only receive one Ad Hoc Sponsorship each financial year. Please make sure you submit your application at least 4 weeks before you require sponsorship. The Shire of Broome will endeavor to provide support to projects, activities and events that are consistent with the values and strategies contained within the Shire of Broome Plan for the Future. Which category does your project address? (please tick all that apply) Social and Cultural Development Natural Environment Reconciliation Economic Development Sport and Recreation Are you applying for sponsorship for the cost of venue hire for a Shire owned facility? Venue: PART A – ORGANISATION Name of Organisation: Postal Address: Contact Person: Position: Phone: Mobile: Email: ORGANISATIONAL PROFILE Is your organisation incorporated? Yes No If no, a sponsor organisation may be nominated to be responsible for the legal contractual arrangements and holding bank accounts in this name. Documentation acknowledging this arrangement must be attached. Name of sponsor organisation (if applicable): Does your organisation or sponsor organisation have an ABN? Yes No ABN number (if applicable): Is your organisation registered for GST? Yes No Does your organisation operate on a not for profit basis? Yes No Has your organisation received sponsorship from the Shire of Broome in the last 12 months? Yes No
ad-hoc-application-1819-word.docx