Patronage Application

With the many patronage requests received by the Governor, it is necessary to request supporting documentation to assist patronage consideration. Requests for the Governor and/or Spouse to be patrons of an organisation should include the following supporting documentation:

Memorandum and Articles of Association, or Constitution
Recent annual report (if published) or statement of the organisation’s activities (if no annual report is available)
Recent financial statements, giving evidence of financial stability
Evidence of longstanding and continuity (at least five years), and a sustained record of achievement
Suggestions of how the organisation would involve its patron in its activities

Note: this information is sought for the sole use of Government House Sydney and will not be disclosed to a third party without the consent of the originating body.

To apply for patronage from the Governor of New South Wales, please submit a Patronage Application Form. (DOCX) 40 KB

Administrative Details

Full name of your organization

Does your organization trade under a different name?

if so please provide details

Postal Address

Primary contact for your organisation

please include name and position

Preferred telephone numbers for contact with that person

Preferred email address for contact with your organisation

In what year was your organisation established?

Which sector best describes your organisation?

e.g. medical, sport, arts, military

In no more than 100 words please describe the mission/purpose of your organisation

What is the reach/rank of your organisation

e.g. national body, local branch, peak body

How many members are on your Board of Directors/Management Committee?

If your organisation has members how many does it currently have?

What are your organisation’s principal sources of funding?

If you are seeking to renew Vice Regal Patronage please advise how long you have previously had such patronage

Please describe how active your organisation is in the community

Thank you for your time to complete the form and supporting documentation. Should you have any questions regarding the progress of your organisation’s request for Vice Regal support, please phone Government House Sydney on 02 9228 4111 or email enquiries@governor.nsw.gov.au.

Organisation Declaration

I confirm that the information being provided is true and accurate. I understand that any inaccurate or incomplete information may impact on the decision by Government House Sydney to recommend Vice Regal support to my organisation.

Name

Position

Date