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To enter your submission online, please enter your information in the fields below.
(Please read the eligibility criteria before applying)

View our club Vision, Mission and Values HERE

Organisation Details

Organisation name: *

Registered Address: *

Location (if different to registered address):

Contact Name *

Title/Role: *

Email Address *

Contact Number *

Website: *

Funding Tier Selection

Please select which JUMP tier/s you are applying for (noting that you may apply for more than one tier within the one application):

Level of funding you are applying for: *

Tier 1: May Racing Carnival Charity Partner
Tier 2: Community Race Day Partner
Tier 3: Small grant (up to $1,000)
Tier 4: Small grant (up to $500)

Eligibility Information

1. Distance from Warrnambool Racing Club: *

Please answer in approximate KMs.

2. Confirmation of not-for-profit status: *

Yes
No

4. Previous JUMP allocations: *

Yes – please complete below:
No

Tier 1

Please include year and name of Initiative/Project

Tier 2

Please include year and name of Initiative/Project

Tier 3

Please include year and name of Initiative/Project

Tier 4

Please include year and name of Initiative/Project

Description of Organisation

Please provide a brief description of your Charity, Club or Community Organisation:

Initiative Overview

1. Title and brief description of initiative: *

2. Total cost of initiative: *

3. Summary of how funds will be used: *

4. Number of people who will benefit: *

5. Community outcomes expected: *

6. How does your initiative align with key local community priorities? *

Volunteer and Promotional Capacity

(For Tier 1 and Tier 2 applicants only):

Tier 1 applicants are required to provide volunteer support at the Warrnambool Racing Club’s May Carnival as part of their partnership.

Tier 2 applicants are encouraged to provide volunteer support but it is not mandatory.

Please outline how many volunteers your organisation could realistically provide to support WRC race days, and in what capacity: *

Social Media Reach

To help us understand the potential to promote your initiative to a broader audience, please indicate which social media platforms your organisation uses (if any) and the number of followers on each. This information will assist the judging panel in assessing communication reach and engagement opportunities.

Facebook Handle

Facebook Followers

Instagram Handle

Instagram Followers

Twitter/X Handle

Twitter/X Followers

TikTok Handle

TikTok Followers

Additional Information

1. Any existing key partnerships or co-funding that may be complimentary to WRC’s support: *

2. Timeline for implementation: *

3. Do you have a referee or external partner who can speak to your organisation’s impact or capability? *

Please include: Name, Organisation and Email or Phone.

Additional Information area (if required):

Declaration & Consent *

I declare that the information provided in this application is true and correct.
I consent to Warrnambool Racing Club contacting me for further information and/or to profile our initiative if successful.

Name: *

Date: *

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FAQ
Eligibility
Previous Recipients
Judges
Contact