Zoos Victoria International Conservation Grants Application Form

Please submit applications to

APPLICATION FORM: Grants Program for International Conservation

Office Use Only

ZV Application
Reference No: / Date Received:
/ /

Applications are open from 1 August to31 October, 2013. Successful applicants will be notified in early December2013 and projects are to be completed by 1November 2014. Successful applicants will be required to provide final project reports by 1 December 2014. Points of clarification and completed applications should be addressed

Zoos Victoria is a not-for-profit zoo-based conservation organisation dedicated to fighting extinction. Our pursuit of tangible conservation outcomes for threatened species includes a major focus on engaging people in ways that enable them to take action to help wildlife. This approach is reflected through our long-standing international conservation partnerships.Engaging and building the capacity of communities to save wildlife is a significant challenge; we believe that it is essential if we are to secure sustainable long-term conservation outcomes for wildlife.

Consequently, the theme for the 2013-14 round of Zoos Victoria’s Grants for International Conservation is‘Wildlife Conservation through Community Engagement’. This recognises that engaging people in protecting wildlife whilst building social capacity is critical for the conservation of wildlife.Approachesthat influence the adoption of conservation sensitive-behaviours will be favoured. Projects supported through this programmust demonstrate meaningful on-ground benefits to wildlife and people.

SECTION 1: Project Summary
  1. 1 Project Specifics

Project Title:
Project Location: / Country: Specific Locality:
Organisation:
Organisation Status: / Registered charity Business entity Non-profit
Other (please specify)
1.2Personnel Details – Project Leader/s
Name / Position/Organisation / Telephone / Email
*Please add further lines as required.
1.3Project Organisation Details
Name of CEO / Website / Contact person (if different to above) / Number of full and part-time staff
1.4 Funding (in Australian dollars)
Total $ sought from ZV: / $ / Total Project Budget: / $
1.5 Description of Project (maximum 250 words)
Include project context, purpose and expected conservation impact of proposed project.
SECTION 2: Conservation Benefits
NB: Responses to Section 2 must be limited to 4 pages of a minimum 12 point font. Title Page, budget and additional information are not included in this limit. Brief bullet points are welcome.
2.1 Describe the expected on-ground outcomes of the Project, for wildlife AND people, and how they addressthe key threat(s). What does success look like?
2.2 Outline how the project’s wildlife conservation and social outcomes will be measured and evaluated. You may wish to consider short-term (< 1 year) and long-term measurements/indicators of success (> 1 year).
2.3 Detail how the project will strengthen local community capacity.
2.4Detail the expected wildlife conservation scope of the project, i.e. does it impact at a species, population, habitat or ecosystem scale?
2.5Describe the anticipated scenario if action is delayed, or if no action were taken.
2.6What plans, if any, do you have to share the project outcomes with other organisations and interested parties?
Probability of Success
2.7Summarise the project design and how this will logically lead to the stated expected outcomes,
i.e. Objective(s), Methodology, Actions, etc.
2.8Summarise the relevant expertise and track record of the Project Leader, project team, and host organisation in delivering conservation outcomes?
2.9Is successful delivery of the project dependant on other factors, such as additional funding or buy-in/approval from governing bodies? If so, have they been satisfactorily addressed?
2.10 Are there risks to successfullyundertaking the project and, if so, how will they be mitigated?
2.11 Will the project outcomes be sustained once a grant from Zoos Victoria has been expended?
SECTION 3: Project Budget
Please use this budget template, note any funds from other sources, and clearly indicate priority items. A timeline should accompany the budget (see Section 4).
Please note:
-All funds granted by Zoos Victoria must be expended by 1 November 2014.
-Funding from Zoos Victoria will not exceed AUD.20,000 per project.
-If the budget includes salaries, Zoos Victoria will only support these for local/national organisation staff (not expatriate staff).
-Salaries must not exceed 40% of the funding requested from Zoos Victoria.
Budget Item (add additional lines as necessary) / Cost / Source of funding
(Place * to indicate if funds are secured)
Total funding sought from Zoos Victoria (AUD):

Zoos Victoria International Conservation Grants Application Form

Please submit applications to

SECTION 4: Project Timeline
Mark the months against the activities you wish to undertake.
Activity / Jan / Feb / Mar / Apr / May / Jun / Jul / Aug / Sep / Oct / Nov / Dec
*Please add further lines as required.
SECTION 5: Additional Information
NB: This will not count towards the page limit
Please attach the following documentation to support your application
  1. Curriculum vitae of project leaders (maximum of 2 pages each)
  2. Letters of reference, recommendation, collaboration/agreements with other organisations and support from relevant range-state agencies (optional)
  3. Copies of permits (if applicable)

Zoos Victoria International Conservation Grants Application Form

Please submit applications to

SECTION 6: APPLICANT DECLARATIONS
To be signed by each Project Leader listed
I hereby declare that:
  1. The qualifications and experience of all personnel to lead this project are appropriate for the activities described in this application.
  1. I agree to discuss any proposed changes to the activities and/or personnel described in this application with the nominated Zoos Victoria contact person for this project.
  1. I agree to submit a final report by 1 December 2014.
  1. I will provide copies of any reports, theses or publications arising out of the project; and will acknowledge Zoos Victoria’s assistance in any such reports and publications.
  1. I will provide information and images of this project to promote the initiative upon request.

Name:
Signature:Date:
Name:
Signature:Date:
Name:
Signature:Date:
*Please add further lines asrequired.
Successful applicants will be required to provide final project reports by 1 December 2014.
OFFICE USE ONLY: ZVENDORSEMENT
Endorsement of International Conservation Partnerships Manager
Name:
Signature:Date:
Project Leader Notified / Date: / / / Date of Funds Transferred: / /