Empowerment Grants - people

Thank you for deciding to nominate someone you know for assistance via the P&N Bank Empowerment Grants program.

Note this program was previously known as Helping &nds Individuals.

By completing this form, I confirm that:

The contribution for which I am nominating the nominee will not benefit myself or my first degree relative.
The person I am nominating (nominee) is a permanent resident of Western Australia.
The contribution for which I am nominating the nominee will not be used for fundraising or a donation to a charitable organisation.
The contribution for which I am nominating the nominee will not be used for hazardous, dangerous or illegal activities, or cause harm to the community or any people or animals.
The contribution for which I am nominating the nominee will not be used for gambling.

P&N Bank will not seek to publish names or identifying details of your nomination without prior consent.

Your name

Your email address

Your phone number

Your P&N Bank member number

Nominee's details

Please provide as much information as possible about the person or family you are nominating. Only share information that the nominee would consent to you providing to us. Please don't provide any confidential or sensitive information.

Nominee's details

Name of person or family

Nominee's street address

Nominee's suburb

Nominee's postcode

Nominee's phone number (we will not contact them without letting you know first)

Age group of the person

Your relationship to the person/ family (e.g. neighbour)

Tell us about the person or family you are nominating and explain the difficult situation they are currently facing.

Please specify what a P&N Bank Empowerment Grant could assist with

Please specify the expense

What would some assistance from P&N Bank mean for this person/ family?

How urgent is this need for the person/family?

Within the next 3 weeks

Within 2 to 6 months

No specific urgency

Is the person aware of the nomination?

Yes

By selecting Submit, you agree to the program terms and conditions.

We will use the information we collect about you to respond to your enquiry in accordance with our Privacy Policy.

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P&N Bank Empowerment Grants – Empowering People