Waste Authority Sponsorship Application Form

Please send sponsorship application forms to

Application Tips:

  • Please read the Waste Authority Sponsorship Policy prior to completing this application form
  • Please keep answers clear and concise
  • The application must be completed in full

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Name of your organisation
Contact name:
Position:
Address:
Telephone:
Email:
Project title
Project location
Projectcommencement and termination dates
Project description / Describe each activity:
Expected project outcomes
(what will the project aim to achieve) / Describe the expected outcomes from your activities listed above:
Describe how your project expects to meet some/or all of the Authority’s sponsorship policy criteria:
1. Demonstrably aligned to the objectives of the Authority’s Waste Strategy for WA
2. Has the potential to deliver significant positive change for reducing wasteor improving recycling
3. Provides an effective means for messages about waste avoidance andresource recovery to be delivered
4. Involves activity in Western Australia
5. Strengthens relationships with key businesses, community leaders orgroups
6. Provides an opportunity for individuals to learn more about waste issues inWestern Australia
7. Recognises those who have excelled in delivering outcomes consistentwith the values of the Authority
8. Is undertaken by groups or organisations that are known and respected inthe waste industry/community
9. Provides value for money
10. Demonstrates/promotes best practice
Estimated costs involved in your project / List breakdown of estimated costs and any procurement associated with each activity:
Amount of sponsorship funding you are requesting from the Authority / $
Details of other funding contributions for this project which are secured or being sought
Cash contributions:
In-kind support:
Will this activity take place if the Authority is unable to support this application?

NOTE – applicantsmay be required to provide an audited statement of last year’s financial operation.

DECLARATION

I declare that the information presented on this form is correct.

Signature: Date:

Name:

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