Tassal Community Sponsorship Application Form

Tassal Community Sponsorship Application Form
About Your Organisation
Organisation Name
Contact Name

First NameMiddle NameLast Name
Position in Organisation
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organisation Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Is your organisation registered for an ABN?
Organisation ABN
Organisation Type

Other
Organisation Type Specification
Website
Social Media Page URL
Organisation Description
Communities Served
About Your Request
Project, event or initiative name
Location of project, event or initiative

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Proposed start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Proposed end date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date by which Tassal’s support is required

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Type of support requested
Cash amount requested (AUD)
In-kind support requested
Total cost of the initiative (AUD)
Application category
If Other, please specify the application category
Project description (max 200 words)
Community Need, Benefit and Outcomes
What local need or opportunity is this application addressing?
Tell us about the issue, gap or opportunitywithin your community.
How was this need or opportunity identified?
This might include community feedback, localdata, consultation, previous experience or demand for an existing service.
Who will benefit from Tassal’s support?
Please describe the people, groups orcommunities expected to benefit and approximately how many people will bereached.
Estimated number of beneficiaries
What difference will Tassal’s support make?
Tell us what will happen with Tassal’s supportthat would not otherwise occur, or how our support will improve the initiative.
How will Tassal’s support be used?
Please provide a clear breakdown of the items,activities or costs our support would fund.
What other funding or in-kind support has been secured or requested?
Please include contributions from yourorganisation, other sponsors, government grants, fundraising or communitypartners.
What outcomes do you expect to achieve?
Please focus on the changes or benefits youexpect to create, rather than only listing activities.
How will you measure success?
Please identify the information you will collector the measures you will use. Examples might include participation numbers,services delivered, participant feedback, skills gained, environmentalimprovements or another relevant measure.
How and when could results be shared with Tassal?
Could this activity proceed with partial support?
Minimum support required (AUD)
If partial support is provided, what could be delivered?
Partnership With Tassal
Why is Tassal an appropriate partner for this request?
Please explain any connection to the communitiesin which Tassal operates, our employees, local stakeholders or a sharedcommunity priority.
How else could Tassal be involved beyond funding?

Other
If Other, please describe the additional involvement requested
Which acknowledgement options would you offer Tassal?

Other
If Other, please describe the acknowledgement option
Has your organisation received support from Tassal before?
If Yes, please provide details of the year, amount or type of support, and what it helped achieve
Have you completed reporting for any previous Tassal support?
Supporting documents

Cancelof
Applicant name

First NameMiddle NameLast Name
Applicant position
Electronic signature
Submission date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Tassal Community Sponsorship Application Form

About Your Organisation

About Your Request

Community Need, Benefit and Outcomes

Partnership With Tassal