Community Investment Application Form

Community Investment Application Form

Before you start completing your application, please note:

Funding proponents must be able to meet Chalice’s expectations of its partners including complying with laws and regulations such as applicable competition, consumer protection, environmental, employment, modern slavery, health, safety and welfare laws.

Our application form cannot be saved as you progress so we recommend reviewing the form in full and gathering all of your responses and required information before starting.

Please ensure you complete each field. If the question is not applicable – simply write ‘n/a’ or similar to indicate this field does not apply to your application.

Sponsorship Application Form

If you are unable to apply online or are having difficulties with your application, please call Chalice Mining on (08) 9322 3960 (Mon-Fri 9am to 5pm).

Supported sponsorships and funding will be formalised in a sponsorship agreement between two parties.

"*" indicates required fields

Section 1. Application Details

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Section 2. Community Investment Details

a. Type of contribution requested*
b. Focus area*

Section 3. Opportunities

a. Detail any associated benefits and/or opportunities in relation to the following areas:

Benefit / opportunity for Chalice

Explanation

Level of Status (e.g. naming rights, gold sponsor etc)
Use of Chalice’s intellectual property (e.g. logos, marks, talent appearances and/or imagery)
Media/communication opportunities (e.g. TV, print, radio, internet, newsletters)
Branding & Signage opportunities
Tickets/Hospitality
Chalice staff involvement
b. If you are successful in your application, please confirm you will be able to provide a report / photo of the impact?*
c. Do you give permission for Chalice to use any quotes or photos in publicly available documents?*
Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.
Upload requirements
Chalice reserves the right to ask any further questions which may be needed to assess your application.*
This field is for validation purposes and should be left unchanged.