Sponsorship Donation Application

Sponsorship Donation Application
Thank you for submitting a sponsorship request to Mildura Workers. We value the opportunity to support meaningful initiatives within our Community.

Please complete all required sections of this form. The information provided will assist our Board in reviewing and evaluating your application.

Application deadlines

Applications submitted by the 15th of the month will be considered at that month’s Board meeting.
Applications received after the 15th will be reviewed at the following month’s meeting.
Organisation Details
Name of Organisation
ABN
Organisation Category & Not-For-Profit Status
(e.g. School, Sports Club, Charity, Health Promotion, Medical Research, Community Festival, Community Care)
Primary Contact Details
Primary Contact Name

First NameLast Name
Primary Contact Position
Postal Address
Primary Contact Mobile
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Email
example@example.com

Funding Request
Reach of Funding Received
(List the number of members in your organisation that funding would impact)
Donation Amount
(Please indicate the amount of funding your organisation would like to apply for.)
Type of Funding Sought

Other
End-of-Month Donation
Upload Sponsorship Packages

(Please provide a copy of your sponsorship packages)
Cancelof

Purpose, History, and Recognition
Reason and purpose for the funding
(Please explain the purpose of the funding. If insufficient space, please attach additional pages)
Mildura Working Man’s Club membership (%)
(What percentage of your organisation regularly attends the club)
Has your organisation held meetings or functions at the Club?
Details of meetings or functions held
What recognition or reciprocal benefits can your organisation provide to Mildura Workers?
If your application is successful, do you permit a testimonial or photo to be provided for use on the Mildura Workers website?
Organisation Banking Details
If your application is successful, the Mildura Workers accounts team will contact you regarding providing your banking details through a secure means.

Authorisation
VERIFICATION AND AUTHORISATION
Authorisation Signature
Print Name
Position Held
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
What happens next?

Applicants will be contacted shortly after the Board’s end-of-month meeting with an outcome or update.

If you have any questions or need assistance, please contact communitygrants@milduraworkers.com.au
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