Sponsorship application form

To facilitate the processing of our sponsorship requests, we have created an online application form. Please make sure you enter all information as requested.

Section A - Organisation background
1.
What is the full name of your organisation?
2.
Organisation type: Not for profit    Pty Ltd    Other
3.
What is the organisation's mission or purpose?
4.
Which of Ansvar Insurance core segments does your organisation complement?
Faith   Education   Care   Charitable organisations   Heritage
Insurance Industry   Community Group
5.
Number of employees? None    1-10    10-25    25-50    +50
6.
Number of volunteers? None    1-10    10-25    25-50    +50
7.
Are you the primary contact person for your organisation? yes    no
8.
Applicant name:
9.
Postal address:
10.
Suburb:
11.
State:
12.
Postcode:
13.
Telephone Work:
14.
Telephone Mobile:
15.
Email:




Section B - Sponsorship details
1.
What is the name of the project or initiative?
2.
Please describe the project or initiative:
3.
What type of support are you requesting?
Financial Contribution - please specify amount $
Other - please specify
Insurance - please specify
4.
Are there different levels of sponsorship, please note levels here.
5.
Does your sponsorship relate to a specific event? yes    no
6.
Is your request for general partnership with your association or organisation? yes    no
7.
Is your request for sponsorship of a specific program or project? yes    no
8.
Is this a new (start-up) event, initiative or project yes    no
8.1 When was the initiative started?
9.
Do you have other corporate funding partners involved? yes    no
9.1 Provide list and level of commitment
10.
Do you have other insurance companies involved? yes    no
10.1 Provide list and level of commitment
11.
Are there opportunities for long-term involvement? yes    no
12.
Are there any other potential benefits offered to Ansvar Insurance? yes    no
12.1 Please provide benefits
13.
Has your organisation worked with Ansvar Insurance before? yes    no
14.
What are the intended sponsorship measurement and evaluations activities?
15.
Ansvar Insurance has a 3 minute corporate video, would it be possible for this to be played to your audience?
yes    no




Section C - Acknowledgements / submission
1.
Please list and add any attachments/additional material, you will be submitting to this application. Please note that you will be primarily assessed on the information contained in this online application.
 
I have read and accepted the Privacy Statement.
 
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