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Apply for a Community Partnership

Applicant details

We look forward to receiving your application
You can save your application along the way and then resume at a later date. Just be sure to submit before the closing time.

About your organisation

Contact details

Address details

Is your mailing address the same as your street address?

Mailing address

Initiative details

Bring your great idea to life!

Tell us how you're making regional communities more vibrant.

Is your initiative for a community event? If your initiative is for an event for more than 2,500 people and is the main event in your town, it may be possible for you to apply for more than $10,000. Please talk to us first before submitting an application.

Community benefits

We apply our guiding principles to everything we do, the way we work and the way we engage. Your initiative needs to be aligned to at least one of our four guiding principles...

Community involvement

Listening, creating and delivering together.

First Nations commitment

Improving the lives of Aboriginal and Torres Strait Islanders.

Cleaner and greener

Improving our shared environment.

Regions first

Preference towards local people, goods and services.

Which of Horizon Power’s principles fit with your project?
This can include but is not limited to number of attendees, impact on community and any positive changes that result out of this initiative.
Providing additional supporting documentation about your initiative can help provide more helpful information for us to assess. This could be a 'Letter of support' from your local shire, an event plan, or community feedback.
Any other documentation that will strengthen your application is most welcome!

Organisation overview

Tell us a bit more about your organisation

We'll need to confirm your organisation is a registered business. Please use ABN lookup Tool to check your legal entity type and upload supporting documentation to confirm these details.

This is your unique 11-digit number issued by the Australian Business Register (as part of the Australian Taxation Office). We need to confirm these details as part of your application - you can confirm your details by visiting https://abr.business.gov.au.
Is your organisation set up as

Additional documentation required

This can be provided in either of two ways:

  1. A copy of your most recent AGM minutes, financial statement; or
  2. Executed Statutory Declaration

If you are a Charitable Trust

  • We need to know the name of the Trustee, the name of the Trust and the names of the beneficiaries of the Trust.
  • If the Trustee is a company, please provide the ACN.
  • If the Trustee is an individual, please provide a copy of their driver’s license. Please confirm the Trustee has capacity to receive funds on behalf of the Trust.
Are you registered with the Australian Charities and Not-for-profits Commission Charity Register or Office of the Registrar of Indigenous Corporations?
Are you registered for GST?
Are you an Aboriginal or Torres Strait Islander organisation?

Banking details

This is the 6-digit Branch Sorting Code where your bank account was set up.
This can include a copy of your financial statement from your most recent AGM.

Partnership funding details

Partnership funding details

Please let us know the funding support your applying for. Here, you'll need to provide a breakdown of your income and expenditure.

Income

We have a preference to not be the sole funder of your initiative so cash contributions from your organisation or another funder is highly recommended.

Total expenditure

Contributions

Provide details here of the various assets or resources provided to help deliver the initiative. This could include equipment, supplies, real estate, vehicles, securities, intellectual property or staff.

Marketing and acknowledgement

Confirm & submit

Referee

Provide at least one referee that can be contacted that is not associated with your organisation, and not a Horizon Power employee but understands the work you do in community.

Declaration

Your organisation’s accountable officer (e.g CEO or Chairperson or Legal Signatory) must tick this declaration.

Horizon Power acknowledges the Traditional Custodians throughout Western Australia and their continuing connection to the land, waters and community. We pay our respects to all members of the Aboriginal communities and their cultures; and to Elders past, present and emerging.

Aboriginal and Torres Strait Islander people are advised that this website may contain images, names or voices of deceased people.