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2021-23 ERRF Grant Application Form Form Preview 2021-23 Environmental Revegetation & Rehabilitation Fund Grant Application Form * indicates a required field IMPORTANT INFORMATION Applicants should be confident that the information provided is sufficient to meet the offset requirements and deliver employment outcomes before submitting an application. It is important for applicants to understand that in order for a project to be found suitable for funding, the information provided in the application must demonstrate, with supporting evidence, that the strict criteria associated with the delivery of environmental offset projects has been met. This is due to the regulatory requirements relating to the offset conditions from which the funding has been sourced. For example, the applicant must provide evidence that the project will be protected in perpetuity, appropriate baseline information (e.g. vegetation type, vegetation condition, soil type etc.) has been provided which informed the revegetation (e.g. appropriate species, site works etc.) or rehabilitation actions proposed with adequate monitoring to demonstrate the successful offset outcomes. Creating jobs for vulnerable communities in COVID-19 impacted regions through the implementation of on-ground projects is another key deliverable of this program. Applicants should ensure new jobs are created for unemployed people, rather than just seeking funds to pay a contractor to undertake the work. For example, could a contractor undertake a supervisory role with paid trainees undertaking the work. Funds for training can also be requested to meet employment outcomes. Instructions Please complete each section, refer to the guidelines and allow time to review before the closing date. Unless specifically stated, all questions are compulsory. For queries about the guidelines, deadlines, or questions in the form, please contact the Project Team: [email protected] Previous recipients of Environmental Revegetation and Rehabilitation grants (previously Green Jobs Plan grants) Current and previous grant recipients are reminded to ensure they are up-to-date with all progress reporting, variations and/or final acquittal requirements. Projects with outstanding progress reports, variations or final reports as the closing date of this grant round WILL NOT be considered for funding. Are you up-to-date with your reporting obligations including progress reports, variations and final acquittals from current Environmental Revegetation & Rehabilitation (previously Green Jobs Plan grants) funded projects? * Page 1 of 27

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2021-23 Environmental Revegetation & Rehabilitation Fund GrantApplication Form* indicates a required field

IMPORTANT INFORMATION

Applicants should be confident that the information provided is sufficient to meet the offsetrequirements and deliver employment outcomes before submitting an application.It is important for applicants to understand that in order for a project to be found suitablefor funding, the information provided in the application must demonstrate, with supportingevidence, that the strict criteria associated with the delivery of environmental offset projectshas been met. This is due to the regulatory requirements relating to the offset conditionsfrom which the funding has been sourced.For example, the applicant must provide evidence that the project will be protected inperpetuity, appropriate baseline information (e.g. vegetation type, vegetation condition, soiltype etc.) has been provided which informed the revegetation (e.g. appropriate species, siteworks etc.) or rehabilitation actions proposed with adequate monitoring to demonstrate thesuccessful offset outcomes.Creating jobs for vulnerable communities in COVID-19 impacted regions through theimplementation of on-ground projects is another key deliverable of this program. Applicantsshould ensure new jobs are created for unemployed people, rather than just seeking fundsto pay a contractor to undertake the work. For example, could a contractor undertake asupervisory role with paid trainees undertaking the work. Funds for training can also berequested to meet employment outcomes.

Instructions

Please complete each section, refer to the guidelines and allow time to review before theclosing date.

Unless specifically stated, all questions are compulsory.

For queries about the guidelines, deadlines, or questions in the form, please contact theProject Team: [email protected]

Previous recipients of Environmental Revegetation and Rehabilitationgrants (previously Green Jobs Plan grants)

Current and previous grant recipients are reminded to ensure they are up-to-date with allprogress reporting, variations and/or final acquittal requirements.

Projects with outstanding progress reports, variations or final reports as the closing date ofthis grant round WILL NOT be considered for funding.

Are you up-to-date with your reporting obligations including progress reports,variations and final acquittals from current Environmental Revegetation &Rehabilitation (previously Green Jobs Plan grants) funded projects? *

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○   Yes - please continue○   No - you may not be eligible to apply. Please contact the Project Team to discuss.○   Not applicable

Acknowledging the Western Australian Government's Green Jobs Plan

All projects funded in-in full or in-part by Environmental Revegetation and RehabilitationFund (ERRF) grants must be correctly acknowledged using the Green Jobs Style Guide.

Should my application be successful, I understand and agree to correctlyacknowledge the Green Jobs Plan in all instances including, but not limited to, theexamples listed in the Green Jobs Style guide. *○   Yes - I agree. Please continue.○   No - I don't agree. You are ineligible to apply.

Conflict of Interest

If you or anyone associated with the proposal could potentially gain personally from thisproject, you must disclose this interest in your application, even if you’re unsure. A declaredconflict of interest will not necessarily exclude your project from consideration.

You should also consider the potential for conflict of interest for organisations that are beingsponsored or will be undertaking any of the activities.

Is it possible that you or your organisation have a conflict of interest in thisapplication? *○   Yes – please provide details below○   No

Please describe the situation. You should identify who has the interest, thenature of the association and any actions you have taken to mitigate this conflictof interest. *

 Word count:Must be no more than 100 words.

 1. Eligibility and Applicant Details* indicates a required field

1.1 Type of organisation

Which category best describes your organisation? *○   Incorporated Association (not for profit)○   Company or Trust (not for profit)

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○   Aboriginal Organisation○   Local Government Authority○   Unincorporated group applying through the auspice of an incorporated bodySelect one

1.2 Applicant Details

Organisation * Organisation Name 

Contact * Title   First Name   Last Name         

Position in organisation*  

Office Address * Address  Address Line 1, Suburb/Town, State/Province, Postcode, andCountry are required.

Phone Number *  Must be an Australian phone number.

Mobile Phone Number  Must be an Australian phone number

E-mail *  Must be an email address.

Website  Must be a URL.

Please verify yourorganisation's ABN. Ifyou do not have an ABNthen you need to applythrough a Sponsor. *

 The ABN provided will be used to look up the followinginformation. Click Lookup above to check that you haveentered the ABN correctly. Information from the Australian Business Register

 ABN

 Entity name

 ABN status

 Entity type

 Goods & Services Tax (GST)

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 DGR Endorsed

 ATO Charity Type More information

 ACNC Registration

 Tax Concessions

 Main business location

Must be an ABN.

Please confirm that youare GST registered. *

○  Yes ○  No

 2. Sponsorship Details (applying on behalf of an unincorporatedorganisation)* indicates a required field

2.1 Sponsorship arrangement

Are you applying as a sponsor on behalf of an unincorporated organisation? *○   Yes○   NoPlease see Appendix C of guidelines for further information

2.2 Sponsorship Agreements

As a Sponsor, you must complete, and attach, a signed Sponsorship Agreement for eachorganisation being sponsored, using the template provided here.Please add more rows as required.

Name of sponsored organisation Signed sponsorship agreement formOrganisation Name  Organisation Name  Organisation Name  

 3. Project Description* indicates a required field

3.1 Project title

Project Title * Must be no more than 10 words

3.2 Project summary

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Your summary should briefly outline:

•  the problem the project aims to address• activities the project will undertake• the final outcome of the project.

This summary will be used for various purposes including recommendations to Ministers andgeneral promotion of your project.

*

 Word count:Must be no more than 100 words.

3.3 Project Design

Describe how the project will establish and maintain native vegetation or willdeliver an essential element that will contribute to another project that willestablish and maintain native vegetation.Include details on the species of the native vegetation e.g. species names, vegetationcomplexes etc.

Where the project is an essential element that contributes to another project, provide detailsof the other project, including whether that project has also applied for an ERRF grant.

*

 Word count:Must be no more than 250 words.

Describe what activities the project will undertake to deliver the above anddiscuss how the activities align with relevant plans such as listed speciesrecovery plans, conservation advice, strategic conservation plans prepared byGovernment, peer reviewed scientific literature.

*

 Must be no more than 250 characters.

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Describe what outcomes will be achieved at the end of the project.Where revegetation or rehabilitation is included in the project, you must prepare andattach a revegetation or rehabilitation plan. Revegetation plans must be developedin accordance with A guide for preparing revegetation plans for clearing permits. At aminimum, rehabilitation plans should identify the objectives and outcomes of the plan;describe the current issues/threats for the vegetation; outline the proposed activities anddiscuss how they will address the issues/threats; and detail the monitoring activities todemonstrate outcomes. Both revegetation and rehabilitation plans must meet at least athree-star standard as described in SER’s ‘National Standards for the Practice of EcologicalRestoration in Australia’

*

 Word count:Must be no more than 250 words.

Description AttachmentPlease add more rows as required. Upload here               

Provide details of ownership, vesting and zoning (current and proposed) of theproject’s locality/site. *

 Word count:Must be no more than 250 words.

Provide details of agreement with landowner to undertake the project’s activitiesand, where relevant (i.e. revegetation sites) how the long-term security willbe ensured (e.g. conservation covenant), including any proposed (existing andfuture) management arrangements. *

 Maps or other documentation can be uploaded to support this above informationAttach a file:

 

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Upload written evidence here (or attach to email)

Has the landowner agreed to change the vesting or zoning of the land? *○   Yes○   No

Where the landowner has agreed to change the vesting or zoning of the land or to havea conservation covenant, written evidence must be provided. Evidence demonstratingacceptance of applying a conservation covenant or changing the purpose of a reserve toinclude conservation by the appropriate body is also required.

Description AttachmentUpload written evidence here

   

Outline the strategic benefits for selecting the project’s locality/site, suchas proximity to high biodiversity areas (e.g. existing conservation areas),enhancement of biological corridors or ecological linkages, connection of existingremnant vegetation, proximity to other on-ground revegetation/rehabilitationprojects *

 Maps or other documentation can be uploaded to support this above information

Description AttachmentUpload here

   

Identify and consider the risks to your project's success; what risks have youidentified, and what steps will you take to manage these risks? *

 Word count:Must be no more than 250 words.

How will your proposed activities benefit the local community and yourorganisation? *

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 Word count:Must be no more than 250 words.

3.4 Capability

Provide information which demonstrates your ability to manage and successfullydeliver the intended outcomes of the project. *

 Must be no more than 250 characters.

Please provide written evidence to support this.

Description Attachment               

Have you successfully delivered a project similar to what has been describedabove? *○   Yes○   No

Please describe the project, discuss the outcomes you achieved and explain whyit was successful. *

 Must be no more than 250 characters.

Please outline why you consider that you can deliver this project successfully. *

 Must be no more than 250 characters.

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Please upload the curriculum vitae of relevant people involved in the project, or any otherdocumentation, which supports the applicant’s ability to successfully deliver this project.

Description AttachmentUpload here

               

3.5 Continuing Projects

Is this proposed project a continuation of any previously funded grants? *○   Yes○   No

Please state what type of grant (e.g. State NRM) and justify why continuedfunding is needed. Also provide details of the outcomes delivered by the previousproject to justify the need for continued funding. *

 Word count:Must be no more than 150 words.

3.6 Volunteer Involvement

Please note that a key deliverable for this program is job creation. Please keep this in mindwhen considering volunteers and the role they will be undertaking. E.g. volunteers to delivertraining will be more highly regarded than volunteers for labour.

Estimated number of volunteers * 

Must be a number (if not applicable insert '0')

Please tell us about any volunteers you expect to be involved in this project (whoand how they might be involved). *

 Word count:Must be no more than 150 characters.

 

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4. Project location* indicates a required field

4.1 Primary project location

Please choose the main location of the proposed activities.

Address * Address  

   Address Line 1, Suburb/Town, State/Province, Postcode, andCountry are required.

Please provide a shapefile (preferred) or PDF,JPEG and PNG of themain location. *

Attach a file: 

Upload here

4.2 Mapped Activities

Will your project involve on-ground activities? *○   Yes○   No

Please upload maps illustrating your proposed on-ground activities in the table below.These should include:

•  individual maps that clearly identify the activities for each project site, and

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• if there are multiple sites, an overarching map that places these sites in a landscapesetting.

Accepted formats include shape files, PDF, JPEG and PNG. Please ensure each file isappropriately labelled so that it is clear which site it belongs to and what the file contains..

Description of attached maps MapProvide title and outline description Upload map here               

4.3 Project location details

What is the nearesttown or suburb tothe project’s primarylocation? *

 

Please selectDevelopmentCommission region(s)covered by the project: *

☐  Gascoyne ☐  Peel☐  Goldfields Esperance ☐  South West☐  Great Southern ☐  Wheatbelt☐  Mid West ☐  Perth metropolitanYou may select more than one.

Please select NaturalResource Managementregion(s) covered by theproject: *

☐  Northern Agricultural ☐  Wheatbelt (Avon)☐  South West ☐  Perth (Swan)☐  Peel-Harvey ☐  South Coast☐  Mid West  You may select more than one.

 5. Workplan and Budget* indicates a required field

5.1 Project work plan

Your work plan will support your application and show your organisation's capacity toachieve the proposed project outcomes.Find the workplan template here.

Description Attachment   

A minimum of 1 file must be attached.

5.2 Grant and Co-contribution

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All amounts entered below must match the values in your attached work plan insection above.

Total value of ERRFgrant requestedexcluding GST *

$Must be a whole dollar amount (no cents).

Grant Co-contributors

Co-contributions are resources (e.g. money, labour, time, machinery, equipment,consumables or materials) donated to your project or (already) provided through otherorganisations or funding sources. Co-contributions are considered as either cash or in-kind.

Does your application involve co-contributions from third parties? *○   Yes○   No

If yes, you must provide a letter of commitment from each organisation that contains detailsof their contributions, and the value. This letter will be used to verify the information youprovide in your application.

Name ofOrganisation

ContactName

PhoneNumber

DescriptionofContribution

Type ofContribution

Proposedvalue Excl.GST

Letter ofCommitment

Full registeredname

Must be anAustralianphonenumber.

e.g. volunteerhours,equipmentuse, specialistservices

Select one. Must bea dollaramount.

Upload here

          $  

          $  

          $  

Total value of co-contributions excluding GST *$(enter '0' if not applicable)

Total cost of project excluding GST$This number/amount is calculated.

5.3 Project Co-ordination

If you are applying for grant funds to undertake activities such as coordination, facilitationand project management, you will need to provide solid justification to support your request.

Are you requesting funds to pay a co-ordinator? *

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○   Yes○   No

Number of employees to be funded from the grant * 

Must be a number

Please justify why the project needs co-ordination; how will funding a co-ordinator impact the overall project outcomes? *

 Word count:Must be no more than 150 words.

Please identify the co-ordinator(s) including name, position and the organisationto which they belong. *

 Is the co-ordinator identified above currently employed by the applicantorganisation? *○   Yes○   No

Please describe the employment circumstances of this co-ordinator, and justifywhy you are seeking co-ordination funds. *

 Word count:Must be no more than 150 words.

 6. Purchase of Services and Assets* indicates a required field

6.1 Contractors and consultants

Will grant funds be used to engage contractors or consultants? *○   Yes○   No

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Please describe why you need to engage a contractor or consultant. *

 Word count:Must be no more than 150 words.

Contractor/ Consultant details

Please provide the contractor or consultant's name, qualifications, and outline what they willbe providing, including whether it is for technical (scientific) and/or Traditional knowledge.

Name Organisation Qualification Service to beprovided

Attach quote

                                             

Is your organisation proposing to provide a service to this project? *○   Yes○   No

Please explain why your organisation should be considered the preferred providerof the service. *

 Word count:Must be no more than 150 words.

Aboriginal Rangers

Will you be contracting work to an Aboriginal Ranger Group or an Aboriginalorganisation/ social enterprise? *○   Yes○   No

Which Aboriginal Ranger group or Aboriginal organisation/ social enterprise willyou be working with and what activities will they be undertaking? *

 

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State or Federal government services

Are you requesting funds to purchase a service/s provided by State or Federalgovernment? *○   Yes○   No

Please identify which service/s you will be working with, and describe why thisservice is essential. *

 Word count:Must be no more than 150 words.

Training

Will training be provided as part of the project? *○   Yes○   No

Will the grant funds be used to pay for the training? *○   Yes○   No

Please provide details of the training, including whether it is accredited or non-accredited and whether fee-free training options had been considered in the firstinstance.If relevant, please explain why the fee-free training was not used.

*

 Please provide details of any other activities that the project will implement tobuild ongoing capability for the restoration sector.

 6.2 Assets

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An asset is any single item of a transferrable physical nature that, if approved, will cost$5,000 or more. Examples may include seeding machines, cameras, drones or scientificequipment. Permanent infrastructure, seedlings and fencing are not considered assets.

If your application is successful you will be required to provide quotes for any assetrequests.

Will you be using grant funds to purchase assets over $5,000? *○   Yes○   No

Please provide details of each asset over $5,000 *

 Word count:Must be no more than 150 words.Must be no more than 100 words

 7. Permissions and Consultation* indicates a required field

7.1 Animal welfare

Will animals be involved in or be affected by your project's activities? *○   Yes○   No

How will animals be involved and what animal welfare protocols will you complywith? *

 Word count:Must be no more than 150 words.

7.2 Landholder Permissions

It is essential that you have sought and received authorisation from the land owner and/ormanager for each site on which the project will take place.

Does your proposed project involve activities on public or private land/property? *○   Yes○   No

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If your project involves on-ground activities, who owns and/ or manages the land thatyou will be working on? If there are multiple sites you must identify land tenure andmanagement for each site.

Please attach evidence that you have in-principle permission to work on each property;a letter of commitment or copy of an email will suffice, however applications that includesigned landholder agreements as evidence are preferred.

Site name Landholder name Manager name (ifapplicable)

Evidence

                                   

7.3 Consultation with Stakeholders

Stakeholders are those people or groups who have an interest in, or may be affected by,your project. It is important that all stakeholders are informed about your project, and givenan opportunity to have a say. This may include people or groups who are neighbours or usethe area where you will be working.You may also need to consult others to gather specialist information on aspects of yourproject, or to gain approvals and permits.

Have stakeholders been consulted or engaged in preparation of this project? *○   Yes○   No

Please list the individuals and/or organisations that were consulted as part of your planningprocess and describe the outcome.

Name ofOrganisation

Contact Name Contact Number Details of outcomeof consultation

Full registered name Must be an Australianphone number.

Must be no more than 50words.

                     

Are permits or other licences required to undertake the activities *○   Yes○   No

If yes, provide details of what permits or licences are required and whether youhave obtained them. *

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 7.4 Consultation with Aboriginal people.

Please begin by clicking this link to search the Aboriginal Heritage Inquiry System.All applicants are required to attempt contact with Aboriginal people who can speak forCountry in the project area.Refer to Appendix D in the Guidelines for more information.

Step 1: Did the search for your project site in the the Aboriginal Heritage InquirySystem produce any results? *○   Yes○   No

How do you believe your project may impact the selected site? *

 Word count:Must be no more than 150 words.

Step 2: Have you consulted with an Aboriginal group/ person who can speak forCountry for your project area? *○   Yes○   No

If yes, please provide details of who you consulted including the outcome of theconversation. *

 Word count:Must be no more than 150 words.

If no, please explain why you have not consulted? *

 Word count:Must be no more than 150 words.

 8. Monitoring and Maintenance of Results

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* indicates a required field

8.1 Monitoring and reporting

What techniques will you use to monitor the project's progress towards success?*☐   Survey☐   Interviews☐   Photo point monitoring☐   Camera footage☐   Mapping☐   Other

Please describe this 'other' technique in more detail. *

 Word count:

A good monitoring and reporting program allows you to assess the effectiveness of projectactivities. Evaluation of the results can help determine if a project has achieved its goals. AllERRF grant projects are required to have a monitoring and reporting program.You will be asked to discuss the results of your monitoring in the final report (this is theevaluation part).

What are youmonitoring/reporting?

How are youmonitoring/reporting

Baseline orStart Date

Frequency ormonitoring/reporting

What will beproduced

Must be a date.                                             

Attach any baseline monitoring information e.g. photos for photo point monitoring, baselinevegetation survey

Description Date Baseline FileMust be a date. Upload here

                         

8.2 Evaluation

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What needs to happen to enable you to say that your project has beensuccessful? *

 How will the success of this project be maintained in the future? *

 Word count:Must be no more than 150 words.

 9. Activities, Milestones and Deliverables* indicates a required field

Please make sure the estimated start date, is on or before your first payment date asidentified in section 9.2, and at least before your first milestone start date as identified insection 9.3.Please also ensure that your estimated end date is on or after your final milestonecompletion date as identified in section 9.3.

Estimated Start Date * 

Must be a date.

Estimated End Date * 

Must be a date.

9.1 Key Activities

List your project’s key activities (should align with your work plan) and allocate requestedgrant against the activities in the table below.

Please select the type(s) of activities your project is undertaking *☐   On-ground work (salary is not eligible)☐   Capability improvement work (salary for co-ordination and facilitation is eligible)

Key activities for on-ground work

Number Activity Category Activity Description Allocate grant (exGST)

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Must be a number. Must be a dollar amount.      $

       

       

       

       

Key activities for capability improvement work

Number Activity Category Activity Description Allocate grant (exGST)

Must be a number. Must be a dollar amount.      $

       

       

       

       

Total Allocated Fund

Total allocated fund ex GST (this must match with the total grant amount in section 5.2)

Total allocated for on-ground work *

$Must be a dollar amount.

Total allocated forcapability improvementwork *

$Must be a dollar amount.

Total allocated grantfund

$This number/amount is calculated.

9.2 Progress payment schedule

Payments may be made in two or more instalments. Progress payments can be tailored tosuit your cash-flow needs and completion of milestones (see section 9.3 below).Projects of more than $50,000 are required to report periodically on their progress andas requested by the Project Team, this may include interim progress reports that are notdirectly linked to a progress payment.Please note that the Project Team will require at least 7 business days to assess yourprogress report prior to any scheduled payments being paid.

CorrespondingMilestone Number/s

PaymentDescription

Amount Requesting(Excl. GST)

Invoice submissiondate for payment

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Must be a number. Must be a dollar amount. Must be a date.    $                              

9.3 Key Milestones

Milestones show how your project is progressing. Describe an event or moment at which oneor more of your project activities listed in section 9.1 above will be completed. It must alignwith progress made toward the completion of one or more deliverables in section 9.4 below.Completion date of milestones should reflect reporting against progress required for aprogress payment in section 9.2 above.

Number List key milestonesto be achievedover the life of theproject

Estimated StartDate

EstimatedCompletion Date

Must be a number. Must be a date. Must be a date.                                   

9.4 Key Deliverables

Deliverables are measurable results which you are now making a commitment to deliverthrough completing this schedule.They are achieved through the completion of the activities that you have identified insection 9.1 above.

Number List of KeyDeliverables

Unit of Measure Number of UnitsProposed

Must be a number. e.g. training, fencing,seedlings planted

e.g. km, per ha Must be a number.

                                   

9.5 Project Participation

How many people are expected to be involved in the project?

Estimated total numberof individual employees*

 Must be a number.

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Estimated number ofFTE’s *  

Must be a number.

Estimated number ofAboriginal employees *  

Must be a number.

Estimated numberof employees withdisability *

 Must be a number.

Estimated number offemale employees *  

Must be a number.

Estimated number ofyouth employees *  

Must be a number.

Estimated number ofpreviously unemployedemployees *

 Must be a number.

Estimated number ofemployees to receivetraining as part of theproject *

 Must be a number.

Please indicate how many people will be employed through a newly created job from thisproject?

Individual employees *  Must be a number.

FTEs *  Must be a number.

Aboriginal employees *  Must be a number.

Employees withdisability *  

Must be a number.

Female employees *  Must be a number.

Youth employees *  Must be a number.

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Previously unemployedemployees *  

Must be a number.

Employees to receivetraining as part of theproject *

 Must be a number.

9.6 Outcomes

Please estimate the percentage of your project work that contributes to each of the outcomeareas listed below.Only enter whole numbers e.g. 25 if 25% of project activity contributes to the outcome area.

Land managementpractices to reduceenvironmental impacts *

 Must be a number.

Maintaining andenhancing the conditionand beneficial uses orwaterways and wetlands*

 Must be a number.

Protecting andenhancing marine,estuarine and coastalenvironments *

 Must be a number.

Recovering andconserving biodiversity *  

Must be a number.

Total (must equal 100)  This number/amount is calculated.

9.7 Activity Summary

Please estimate the percentage of your project work that involves each of the activity typeslisted below.Only enter whole numbers e.g. 25 if 25% of your project involves a particular activity.

On-ground activities *  Must be a number.

Capability improvementactivities e.g. training,field days *

 Must be a number.

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Resource assessmentactivities e.g. fauna,flora, weed, vegetationsurveys *

 Must be a number.

Planning Activities e.g.planning strategies *  

Must be a number.

Total (must equal 100)  This number/amount is calculated.

 10 Additional Information10.1 Promotional activities

Please list below how you will promote the work being done in the project?

Number Describe promotionalactivity

Estimated date

Must be a number. Must be no more than 150characters.

Must be a date.

                         

10.2 Other information

If there are other sources of information that you have referred to in this application that aredirectly relevant, please attach them below.

Description of document / informationand how it is relevant to your application

Name of document

Must be no more than 150 characters. Upload document               

 11. Feedback and Declaration* indicates a required field

11.1 Feedback

Thank you for applying for a an ERRF grant.

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Any feedback you have on our application process or how we promote these grants wouldbe greatly appreciated.

Where did you hear about this grant program? *☐   Communication from Department of Water and Environmental Regulation☐   Visiting Department of Water and Environmental Regulation☐   Facebook, twitter or other social media platform☐   Regional NRM body☐   Local landcare group☐   Newspaper☐ Other:

 Please pick at least one response

How easy was this form to fill out? *○   Very easy○   Easy○   Neither easy or difficult○   Difficult○   Very difficult

We are always trying to improve our application process, and genuinelyappreciate your input. Do you have any feedback for us?

 We encourage you to be frank and fearless.

11.2 Declaration

I state that the information in this application and attachments is to the best of myknowledge true and correct. I will notify the Department of Water and EnvironmentalRegulation of any changes to this information and any circumstances that may affect thisapplication. I acknowledge that the Department of Water and Environmental Regulation mayrefer this application to external experts or other government departments for assessment,reporting, advice, comment or for discussions regarding alternative or collaborative grantfunding opportunities.I understand that the Department of Water and Environmental Regulation is subject to theFreedom of Information Act 1982 and that if a Freedom of Information request is made, theDepartment of Water and Environmental Regulation will consult with the applicant beforeany decision is made to release the application or supporting documentation. I understandthat this is an application only and may not necessarily result in funding approval.I understand that if successful, I will be required to sign a Funding agreement outlining theterms and conditions on which the grant will be provided.

I have read and agree to the above *○   Yes, I have read and agree

Authorised Representative *Title   First Name   Last Name         

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Position in organisation * 

Phone number * 

Email * 

 

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