Investment categories:

Community Sponsorship (greater than $5,000): Create social value by building capacity in communities leading to benefits such as improved social inclusion, increased skills, environmental preservation, stronger local businesses and economies, as well as positive health outcomes.

Community Grant ($5,000 or less): Support of grassroots organisations, local sporting clubs and smaller community initiatives. Community grants receive a financial contribution for a specific program, event or initiative.

Type of support requested

Community Grant

Community Sponsorship

Applicant information

First name

Last name

Position held

Organisation name

Australian Business Number (ABN) or equivalent business registration number/ID in your country

If N/A, please complete a Statement by a Supplier Form and attach it with your submission.

Street address

Town / Suburb

State

Postcode

Country

Phone number

Email address

Program / event website

Please provide a brief description of your organisation

(including purpose, values and services provided to the community)

Please provide a brief description of your organisation’s history with Santos

(including any current or previous community sponsorship applications/ sponsorships)

Are you currently bidding for / or contracted to deliver goods and services to Santos?

Yes

Registered for GST?

Yes

Not-for-profit?

Yes

Public liability insurance?

Yes

If you are unable to attach evidence of insurance or believe insurance is not necessary, please explain why.

Project information

Proposal name

Start date

End date

What is the identified need/issue in your community?

Proposal Outline: what is your proposal? How will this help address the identified need/issue in your community?

Scope

Please select the relevant geographic region for your program/activity

	Alaska
	Cooper Basin
	Darwin/NT
	Gladstone region
	Hunter Gas Pipeline route
	Maranoa region
	Narrabri
	Perth
	Pilbara and Gascoyne
	PNG Community
	Pt Bonython/Whyalla
	Timor-Leste

Focus Areas

We aim to improve living standards, build respectful relationships, and create stronger communities in the areas where we operate.

The Community Investment Framework sets out 3 focus areas aligned to the UN Sustainable Development Goals.

The three focus areas are: Resilient Communities, Economic Pathways and Environment.

Resilient Communities: Supporting access to social infrastructure, systems and services to help build healthy communities.

Economic Pathways: Advancing skills, systems and infrastructure for communities to create economic opportunity.

Environment: Supporting environmental initiatives and programs that support and protect biodiversity.

Which Santos Focus Area is the proposal aligned with?

	Resilient Communities
	Economic Pathways
	Environment

Please select from the list below the group that best represents the primary (or main) beneficiary group of your program/activity:

	Children
	Young people
	Indigenous
	Traditional Owners
	Farming and agricultural communities
	People living with disability, illness or mental illness
	People experiencing disadvantage (social, economic)
	People living in regional, rural or remote communities
	Local business owners
	Local clubs and associations/community members
	Older people
	Other

Please select any secondary (other) beneficiary or stakeholder groups supported by or involved in:

	Children
	Young people
	Indigenous
	Traditional Owners
	Farming and agricultural communities
	People living with disability, illness or mental illness
	People experiencing disadvantage (social, economic)
	People living in regional, rural or remote communities
	Local business owners
	Local clubs and associations/community members
	Older people
	Other

How many people do you anticipate your program/activity benefiting?

Please detail any proposed involvement from Santos staff (e.g. volunteers, speaking opportunities etc):

Sponsorship rights – activation

Channel

	Event / Program / Infrastructure naming rights
	Social media channels (Facebook, Twitter, LinkedIn)
	Print media (newsletter, promotional material, invitations)
	Advertising (website, radio, newspaper)
	Hospitality opportunities (host a launch event / table / marquee)
	Speaking / Q&A opportunities
	Apparel or uniform logo
	Access to VIPs such as ministers, key landholders or celebrity endorsements
	Media interviews / PR opportunities
	Signage placement
	Opportunity to provide Santos branded merchandise
	Other

Declaration

Your summary is now ready. You may review or print it before submitting by clicking on the Printable Form link above. To edit your document, please use the Previous button on this page.

I hereby guarantee that the information provided in the application is true and accurate.

Date

First name

Last name

Phone number

Email address