PO Box 42, York WA 6302Fax: 9641 2961
Application for Sponsorship
Applications close onApril29, 2016for the sponsorship period July to December 2016
Applications close on October 7, 2016for the sponsorship period January to June 2017
Organisation details
Name ...... ………………………………………………………………………………………………………………………….
Address……………………………………………………………………………………………………………………………………………….
Phone………………………………………Fax………………………………………E-mail……………………………………………………
Contact Person (author/phone)………………………………………………………..Number of Members……………………
(Refer to guidelines for making applications): Is your organization incorporated? (Yes/No)- Pleasecircle
ABN………………………………… If not registered for GST, can you provide a Tax Office exemption?......
Is your organization a client of this bank? (Yes/No) Number ofmemberswho bank with the branch (...... )
Type of project or activity details (details will be kept confidential)
...... ……………………………………………………………………………………………………………………... …………………………………………………………………………………………………………………………………………………………....
Start date and/or duration……………………………………………… Estimated total cost $………………………………....
Funds from own resources $…………………..... Amount sought from YDCFS Ltd(inc. GST) $………………………
Other sponsorship being sought, amount and source(s) ...... …………………………………….. …......
Benefit to the community?...... ………………..
…………………………………………………………………………………………………………………………………………………………...
Does your organization agree to provide digital photos of the sponsored event/items with clearance forthe Community Bank® touse them to publicise this sponsorship? (Yes/No)
Does your organization agree to provide acknowledgementof sponsorship by including the bank’s logo on publications, displaying abanner at the event and/or by attaching a logo to a permanent item? (Yes/No)
NOTE: Please refer to the guidelines for sponsorship applications before completing this form and ensure ALL information/documents requested are submitted with this form.
______
Signed - author of proposal Signed - executive committee member
Date ______
30-3-2016
York & Districts Community Bank® Branch
GUIDELINES FOR ASSESSMENT OF SPONSORSHIP APPLICATIONS
To be considered, applications mustinclude all details requested and meet the following criteria:
Application must:
- Show organization is a customer of the York and District Community Bank® Branchandprovide a list of current members.
- Show organization is locally based in the area from which the Bank’s customers are drawn.
- Include evidence of ongoing planning and budgeting with detailed costing/quotes for the proposed project.
- Includea copyofthe audited Profit and Loss statement for the most recent financial yearand a current bank statement.
- Show that the organization will contribute funds from its own resources and use Bank sponsorship as leverage to gain funding from other sources where applicable, especially where other sources of funds are known to exist.
- Where funds are for enduring items,agree to attach the Bank’s logo in acknowledgement of its support. (An appropriate logo will be provided by Bank.)
CONDITIONS:
- An organizationmust be an incorporated, not-for-profitgroupand have appropriate accountability procedures in place.
- Organization must provide an invoice/tax invoice showing sponsorship has been used for the purpose for which it was approved before funds will be released.
- Applications must be made on the form supplied by the Bank. Supporting information should be attached to that form.
- Sponsorship funds must be used within 12 months otherwise they will be returned to the pool.
- Funds will not be provided for salary or wages or ongoing operating expenses of an organizationorfor projects already started/completed before application is approved.
- NOTE: Funds will only be paid from July 1 for the July/December distribution and January 1 for the January/June distributions. Recipients are advised to time their purchases/payment to allow for this.
(NOTE: The board of York and Districts Community Financial Services Ltd reserves the right to vary these guidelines to suit unforeseen circumstances.)
30-3-2016