Social Impact Program Enquiry Page

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Name*

First NameLast Name
Email*
example@example.com
Mobile Phone*
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Entity Type*

Registered CharityCommunity Rugby League ClubSchoolOrganisationIndividualOther
Please specify - Other Entity Type*
Enquiry Type*

Charitable request (donation & support)Social Impact ProgramSocial Impact PartnershipIndigenous AffairsSocial Impact Ambassador RequestGeneral Social Impact Enquiry/Feedback
Organisation Name*
School/Club/Charity/Business
ABN*
Website*
Event Date*

DayMonthYear
Please select the date of the event that you are requesting a donation/support for
Please select the program/s you are interested in*

League Stars Inspire - Diversity & Inclusion (Years 3-6)League Stars Inspire - Respect (Years 3-6)League Stars Inspire - Health & Wellbeing (Years 3-6)In league in Harmony (Years 8-10)State of MindSchool to WorkVoice Against ViolenceRequest a Community Ambassador
Click here to view our range of programs on offer

https://www.nrl.com/community/programs/
Please select the time period/s you are interested in the program being delivered in*

January - April (Term 1)May - June (Term 2)July - September (Term 3)October - December (Term 4)Other
Please specify - Other Time*
Please describe your enquiry/request/feedback*
Please upload your request on official letterhead*

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Address*

Street Address

Street Address Line 2

CityState

Post CodeCountry
Salesforce Opportunity Name
Record Type ID
Enquiry Date*

DayMonthYear
Date
Account Name
Enquiry Source
NRL Social Impact communications*

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