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

What is the full name of your organisation?

Organisation type:

Not for profit
Pty Ltd
Other

What is the organisation's mission or purpose?

Which of Ansvar Insurance core segments does your organisation complement? FaithHeritage
EducationInsurance Industry
CareCommunity Group
Charitable organisations

Number of employees?

None
1-10
10-25
25-50
+50

Number of volunteers?

None
1-10
10-25
25-50
+50

Are you the primary contact person for your organisation?

Yes
No

Applicant name:

Postal address:

10.

Suburb:

11.

State:

12.

Postcode:

13.

Telephone Work:

14.

Telephone Mobile:

15.

Email:

Section B - Sponsorship details

What is the name of the project or initiative?

Please describe the project or initiative:

What type of support are you requesting?

Financial Contribution - please specify amount $

Other - please specify

Insurance - please specify

Are there different levels of sponsorship, please note levels here.

Does your sponsorship relate to a specific event?

Yes
No

5.1 How many events

Is your request for general partnership with your association or organisation?

Yes
No

Is your request for sponsorship of a specific program or project?

Yes
No

Is this a new (start-up) event, initiative or project

Yes
No

8.1 When was the initiative started?

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

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.

Attach Document

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