Please fill in the details below to apply for WesCEF’s Aboriginal Community Grant

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Name *

First

Last

Phone Number

Email *

Organisation Name

Address

Website

What focus area does your organisation support?

Which grant are you applying for? *

• $5,000 Grant
• $2,000 Grant

Provide a brief overview of your organisation *

List Board members or management committee members of your organisation (name, roles & employer information) *

Activity name

Briefly describe your activity / project *

Start date (if applicable)

Duration (if applicable)

How will the community benefit from this activity / project?

How was the need or demand for this activity / project identified?

What sponsorship benefits will be offered to CSBP or Kleenheat?

Other - please specify

Outline your plan to promote or publicise this activity / project

Have you previously received sponsorship support from CSBP, Kleenheat or Wesfarmers Chemicals, Energy & Fertilisers? *YesNo

If you answered yes to the above question, please provide information about each activity / project supported, including the organisation that sponsored your activity / project, date of activity / project and funding provided

We collect information submitted in this webform in order to assess your Community Grant application. Our Privacy Policy (https://wescef.com.au/privacy-policy/) contains information about how you may access this information. By submitting this application you are declaring that you are authorised to seek sponsorship and offer the benefits outlined on behalf of your organisation. You declare that the information you have provided is correct.I agreeI do not agree

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