Form - Partnership Program Application

Partnership program application form

Please note: the application cannot be saved and revisited. Please draft your responses in a word document prior to submitting your response via this form. Applications received in any other format will not be accepted.

Full name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City State Postcode Country

Have you read the Community Partnership Program Guidelines

Yes

Are you a current Hume Bank customer?

Yes

Willing to consider

Organisation name(Required)

Position at organisation(Required)

Organisation ABN(Required)

Tell us a bit about your activity

Please describe the activity or initiative and its intended benefits for the community (Limit 1000 characters)(Required)

How does the activity align with the selected community impact priorities?(Required)

Date of activity(Required)

Location of activity(Required)

Number of people participating(Required)

Who is the target audience of the activity and how will they be engaged?(Required)

How will the activity be promoted?(Required)

What will define success for this activity?(Required)

Please select the Community Impact Priorities that your activity aligns with:

Arts & Culture

Education

Health & Wellbeing

Housing

Innovation

Sustainability

Is this a multi-year support request?

Yes

*Please note that only existing partners can request a multi-year support request

How can we support you?

Two Columns

Financial support(Required)

Yes

If Yes, please provide amount

Two Columns

Volunteer support

Yes

Clancy Koala appearance

Yes

Equipment

Marquee

Big cheque

Hume Bank signage

Subject to availability and associated guidelines

Our involvement

What opportunities (if any) will be available for Hume Bank employees and customers to become involved in the activity?(Required)

Limit 500 characters

Is another financial institution sponsoring the initiative or activity and in what capacity?(Required)

How would Hume Bank be recognised for our contributions?(Required)

How will Hume Banks contribution be treated should the project be cancelled/unfulfilled/postponed for any reason?(Required)

Limit 500 characters

Are there any other benefits provided to Hume Bank, our employees or customers as part of our involvement?(Required)

Are you prepared to complete a partnership report that details how our support was utilised and how this was of benefit to the community?

Yes

For applications over $1000

Will you supply imagery and content from the initiative or activity for use by Hume Bank for social media and/or other communications?

Yes

Please upload any additional information

Select fileMax. file size: 8 MB

If applicable

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