Forms - TasNetworks

Partnership application form

Please ensure you read our criteria prior to submitting an application.

All requests will be assessed against internal guidelines and you'll receive notification of the outcome or a request for further information within four weeks of submission.

Full Name *

Position Title *

Organisation *

ABN *

Project Title *

Applicant Email *

Applicant Phone Number *

Website (if applicable)

Funding Amount *

Focus Area (please tick) *

Environment

Safety

Innovation

Education

Project Summary *

Please provide a brief summary of the project/event/activity or initiative you are seeking funding for.

Community or Environmental Benefits *

Please list the top three community or environmental outcomes that you expect to result from this partnership?

Deliverables *

What are the tangible outcomes of this project (please include delivery dates where possible)? For example, a new building, research paper or revegetation of an area.

Recognition of Support *

How do you plan to recognise TasNetworks support? For example, logo placement, speaking opportunity at media event, complimentary trade stall or event ticketing.

Other Funding Partner *

If the project, activity or event already has other funding partners, please list them below.

Attachments *

Upload:

Please upload any documentation that will support your application.