NRM South Small Farm Planning 2017-Expression of Interest Form

EOI forms must be submitted before 5pm December 5th 2016.

Please refer to the Small Farm PlanningGuidelineswhile completing this form(available at ).

To fill in the form, click in the grey fields and begin typing – the rows will expand as you type. Please use dot points if you wish, however the form does not support bullet formatting so you will need to use [-].

1. Applicant and property details
Applicant name
Property name
Property address / Postcode
Postal address (if different)
Phone/mobile
Fax
Email
PID (property ID).(From your council rates notice)
Property size (ha)
(1ha = 2.47 acres)
Property descriptors (rank 1 - 8 in order of land coverage with 1 being most coverage and 8 being least) / Horticulture: / Cropping (cash crops, market gardening): / Pasture:
Native bush: / Environmental weeds (NOT including native species such as bracken, rushes, silver wattles etc):
Conservation area (covenant, protected natural vegetation): / Forestry: / Other (please specify):
Please provide any further information relevant to the above question here / Maximum 150 words
2. Areas of interest

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What are your main goals or objectives forthe coming 3-5 years for your property? / Maximum 150 words

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3. Personal information
Have you attended NRM South events or workshops previously?
Yes No
How do you describe yourself? / Not a farmer: / Hobby Farmer:
(You manage the land as a pastime possibly for small financial gain) / Farmer:*
* A "farmer" must agree with at least 2 of the following statements:
I spend 30 hours or more a week working on my farm
I intend to make a profit from my agricultural enterprise
I have a business plan for my agricultural enterprise
If you classify as a farmer or hobby farmer, do any of the following apply to you? / Organic: / Biodynamic: / Pesticide free: / Other:
(Please specify)
Which of the following productions is your property involved in? / Beef: / Sheep: / Dairy:
Wine/cider/beer: / Vegetable: / Fruit:
Grain crops: / Other (please specify):
Are you available to attend workshops on weekends? *The small farm planning program involves 5 one-day workshops held on weekends in the first half of 2017.
Yes No
Are you prepared to make your property available for a PMP workshop?
Yes No
If yes, can you provide a sheltered area for approx. 25 people?
Yes No
Any further comments (if required)

Conditions

In submitting this Expression of Interest I/we agree that should the application be successful I/we agree that we will pay the program fee of $200 for a single individual or $275 for two individuals per property

I agree that I have read and understood the above conditions

Applicant’s Name or Signature:

2nd person from same property (if applicable):

Date:

Your completed form can be emailed to

EOI forms must be submitted before 5pm, December5th2016.

For further information on the application form or the program please contact:

Tim Ackroyd, NRM South Huon Valley Facilitator, 0400 047 665, (03) 6264 0324

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