Outgoing Sponsorship Acquittal Form

Details of Your Organisation

Select your organisation type:*This field is required.
Does your Organisation have an Australian Business Number (ABN)?*This field is required.
Is your Organisation registered for GST?*This field is required.
Does your Organisation have Public Liability Insurance?*This field is required.

Project Details

Which sponsorship tier were you approved for under your funding agreement?*This field is required.

Please provide a summary of your funded project or event.

Include a brief overview of what took place, what worked well, and any challenges you faced. Share what you would do differently next time and highlight any positive outcomes or stories that could be shared with Council and the community.

This helps us understand the impact of your project and celebrate its success.

Which demographics that you indicate on your application attended?*This field is required.

Please provide the total number of attendees. Indicate whether this number is exact (e.g. based on registrations or ticket sales) or an estimate (e.g. headcount or visual estimate on the day).

In 200 words or less, describe any social or economic benefits your project created such as supporting local businesses, increasing participation, or strengthening community connection.

Please include how you measured or observed these outcomes (e.g. feedback, attendance numbers, partnerships, spending).

You can also list any local organisations or businesses that were supported as part of the project.

Marketing & Promotion

How was the Shire of Carnarvon acknowledge for sponsorship?*This field is required.

Please provide a summary of where and how your event was promoted.

In your response, include details of any digital advertising you used (e.g. social media, websites, email newsletters), as well as traditional media such as newspaper ads, radio spots, or magazine features. Let us know if you used posters, flyers, signage, or event programs, and where these were distributed (e.g. local businesses, visitor centres, community hubs).

Be specific about your target audience and how your promotional approach helped increase awareness, attendance, and visibility for both the event and Carnarvon.

Max File Size: 15.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Application Checklist & Declaration

Please ensure all documents requested are attached to the application. Any application that is incomplete and does not have relevant documents attached will not be considered.

Declaration

I, the undersigned, certify that:

  • The information provided above regarding the expenditure of funds is true and accurate, and the funds have been used in accordance with the approved purpose of the donation/contribution.

  • Any unspent funds have been returned to the Shire of Carnarvon.

  • I acknowledge that the promotional activities undertaken were aligned with the sponsorship tier requirements outlined in the funding agreement.

  • In supplying any content (including photographs, graphics, logos, or other materials), I confirm that appropriate consent has been obtained for its use by the Shire of Carnarvon for Community Growth Fund purposes. I give permission for the Shire to use, store, adapt, publish, promote, or reproduce the supplied content without further notice, acknowledgment, or compensation.