CONTACT US (03) 9374 2607
Please ensure you read, understand and comply with the General Conditions for Funding and Terms and Conditions sections of this document before completing the application form. Name of organisation (required)
Amount of funds requested (required) Total (required)
Plus GST if applicable Date required (required)
Contact details (required) Postal address (required)
Applicant's position (required) Postcode (required)
Operational address (required) Contact number (required) Email address (required)
Postcode (required) Alternative number (required) Website
Secondary person's name: (required) Secondary person's contact number (required)
Secondary person's position: (required) Secondary person's email address: (required)
What is the legal status of your organisation? (required)
Incorporation Number (required) ABN (required)
Number of Members / Estimated Beneficiaries (required) GST Registration (required) YesNo
Does your organisation conduct an account with Strathmore Community Bank: (required) YesNo Does your organisation conduct an account with Bendigo and Adelaide Bank: (required) YesNo
If answered YES , please provide: BSB
Account Number
If answered NO, are you prepared to transfer your organisation’s banking to the Strathmore Community Bank? YesNo PLEASE PROVIDE THE FOLLOWING SUPPORTING DOCUMENTATION a) Certificate of incorporation or evidence of support by an incorporated body b) Previous annual report (Minutes of AGM and copy of the Financial Report is sufficient) c) Additional information you feel necessary to support your application (Note, large file attachments which exceed the upload limit will need to be emailed direct to admin@strathmore3041.com.au)
Please provide a description for what purpose, who will benefit and over what period the funding will be used. Also supply information regarding your own contribution or any other third party contributors. You may add additional pages/information if necessary. Please also attach quotations from preferred trades and/or suppliers where possible. (required)
Please provide written information how your organisation intends to support and promote the Strathmore Community Bank to your members/staff/supporters. (required)
• Funding requests are considered on a monthly basis and must be received prior to the last day of the month. • The Board of Strathmore Community Services Ltd will treat all applications in confidence however, details of successful applicants may at the Board’s sole discretion be made public but the Board may at their discretion require that any funding be confidential and not be disclosed without the Board’s written consent. • All funding requests must be approved by the Board of Strathmore Community Services Ltd. • All applicants must be an appropriately Incorporated Body. • All applicants must provide any further information as requested by the Board. • Funding is provided to organisations to support their objectives and to provide Strathmore Community Bank (SCB) with the opportunity to engage with the Organisation’s members/staff/supporters. • Future funding of the Organisation will be based on the amount of extra banking business generated for SCB by the members, staff and supporters of the said organisation. • All outcomes of the requests for funding will be notified in writing within 60 days. • The Board’s decision is final and no further correspondence will be entered into. • All funding must be used in accordance with the purpose set out in the Applicant’s application. • No funding shall be used for any illegal purpose. • The applicant certifies that all information provided by the applicant is true and correct.
Should the application be successful, the applicant agrees and authorises Strathmore Community Bank (SCB) as follows: • SCB to use any photographs relating to your funding. • SCB may use your organisation’s name in conjunction with SCB’s advertising and marketing programs. • SCB may add your organisation’s name to the funding list for promotion of SCB. • To promote SCB to members/sta ff/supporters, via newsletters, website, social media, promotional material, banners or signage. • To distribute the SCB’s promotional materials to members/sta ff/supporters. • To share your web/social sites to the SCB’s website. • To supply a testimonial describing the benefits of the funding support. • To use the SCB’s logos where applicable (for major funding, may include sporting uniforms, advertising and signage). • SCB shall not be liable for any claim or liability which relates to any use of funds provided by SCB.
I acknowledge that I have read, understood and agree to the above terms and conditions of Strathmore Community Services Ltd and declare that the information I have supplied is true and correct.
Applicant's full name (required)
Date (required)
PRIVACY - Bendigo and Adelaide Bank Limited is committed to ensuring your privacy is protected and understands your concerns regarding the confidentiality and security of the personal information you provide. The information contained in this form will be held by Strathmore Community Services Limited and may be disclosed to Bendigo Bank and organisations that carry out functions on behalf of Bendigo Bank. Our full privacy policy is available online at www.bendigobank.com.au/public/disclosure-documents. Bendigo & Adelaide Bank Limited. ABN 11 068 049 178 AFSL 237879. S40202BB (216679_v6) (Reminder: Please wait for the dial to stop spinning after you hit SEND. It may take 10-20 seconds. If the application fails to SEND, please remove the file attachments and email direct to admin@strathmore3041.com.au)
