Applicant Details

Organisation

Contact Name

Email

Organisation Details

Purpose

Structure

Does your organisation/event have public liability insurance for at least $20 million? Yes/No

Project/Event/Funding Details

Project/Event/Funding title:

Project/Event/Funding summary (max 200 words):

Timing/Dates:

Any relevant milestone dates (e.g., dates for printing marketing materials, etc.):

Location:

Aim:

Project/Event/Funding cost:

Amount requested from DBCT P/L:

Audience/Beneficiaries (include anticipated number of participants and area of community that will benefit):

Have you previously received funding from DBCT P/L? Yes / No

Applicant/s have complied with all local laws, applicable regulations and have the correct insurance in place for the event/organisation? Yes/No

How will DBCT P/L’s portion of the funding be used?

Is there a link to any DBCT P/L employees? Yes / No

What media is planned for the project/event?

Additional information:

Sponsorship application form