Apply for Sponsorship | hills-of-gold-energy

2022 Hills of Gold Wind Farm Sponsorship Program Application

Contributions made by ENGIE under the Hills of Gold Wind Farm Sponsorship program will be one-off cash payments up to the maximum value of $3,000.

Please ensure you have read the Hills of Gold Wind Farm Sponsorship Guidelines and Terms and Conditions before submitting this form.

You can also download an application form here and submit it electronically to info@hillsofgoldenergy.com.

Hardcopy applications via mail will not be accepted.

Organisation/Community Group Details

Name of Organisation or Community Group

Australian Business Number (ABN) (if applicable)

Please provide a brief overview of your organisation, including its role and history

Please provide your organisations primary banking details. These details will be used for payments if your organisation is successful in your application.

Account Name

BSB

Account Number

Sponsorship Contact Details

Name

Contact Phone

Position

Sponsorship Project/Event Details

Name of project or event

Brief description of project or event (100 words or less)

What is the timeline for the activity, project or event? (including date of completion of the project or event)

Which selection criteria does your project or event satisfy

Tourism, arts, culture

Sustainability and environment

Education and training

Socio-economic conditions

Briefly outline how your project or event satisfies the criteria selected above (max 200 words)

Describe how the community will be involved and benefit from this project or event (max 200 words)

Funding Details

What is the total budget required to deliver your project or event?

How much financial support are you seeking from the Hills of Gold Wind Farm Sponsorship Program (to a max. of $3k)?

Are there any other organisations involved in this project or event?

Have you applied for funding from other sources? (If so, please provide details of the funding body, amount and if you have secured this funding or are still waiting feedback)

Terms and Conditions

The following terms and conditions apply to applications made under the 2022 Hills of Gold Wind Farm Sponsorship Program.

ENGIE reserves the right to select:
- Successful sponsorship applicants
- The amount of the sponsorship allocation
- The method of payment and timing of payment to successful sponsorship applicants

The decision to allocate sponsorship to successful applicants is final and ENGIE is not required to provide reasons to unsuccessful sponsorship applicants.

Any funding allocation from the 2022 Hills of Gold Sponsorship program must be solely used for the purpose stated in the application. ENGIE reserves the right to withdraw and request repayment of the sponsorship allocation if the money is not used for the purpose outlined in the application.

ENGIE must be informed immediately if the project, initiative or event funding was provided for is no longer proceeding.

Expenditure of the sponsorship allocation must be completed within 12-months of official notification of funding, unless otherwise agreed with ENGIE.

Should the actual total project cost exceed the sponsorship allocation, ENGIE will not be responsible or obliged to pay any monies in addition to the sponsorship allocation.

Successful sponsorship applicants must maintain the appropriate insurances (including public liability insurance) and will provide ENGIE with certificates of currency when requested.

ENGIE reserves the right to include details of sponsorship in its media, newsletters and website materials.

ENGIE reserves the right to withdraw the sponsorship allocation if an organisation has been found to be involved with illegal activities.

Any incomplete, unsigned sponsorship applications or applications submitted after the closing date will not be accepted by ENGIE.

ENGIE will not fund third-party fund-raising activities, events that are illegal in nature, payment of existing debts, or activities and events whereby a solitary individual derives benefit.

All recipients of funding must complete and brief report of the event and an acquittal form and submit receipts for all items and services paid for with allocation.

ENGIE reserves the right to ask the recipient for a refund of funding, if the event, project or initiative funded by the sponsorship program is cancelled and unable to be rescheduled.

Declaration

I have read the Hills of Gold Wind Farm Sponsorship Guidelines and agree to all the Terms and Conditions.

Your Signature

Select a date

Name

Position/Job Title

Thanks for submitting!