APPLICATIONGUIDE

BEFOREMAKINGANAPPLICATION,PLEASEREADTHEFULLFARMERSFUNDGUIDELINESAVAILABLEAT

FarmersFund is a farmerowned brand,seeking togivebackprofitsbackto dairyfarmers.

Forthisapplicationto beaccepted,ALLmandatoryinformationandattachmentsmustbeprovided.Applicationsmust bereceivedbytheclosingdate,31 March 2017.Please see thewebsite forupdates.

Please note grants are now available for a maximum of $10,000

Please includethe following attachmentswithyourapplication.

MilkProcessorIncomeEstimationsforFinancialYear2015/162016/17

As partof yourapplicationyouwill berequired togivethefollowinginformation.Thechecklistbelow will helpensureyou haveprovided:

Section A:Applicant DetailsSection B:RefereeDetailsSectionC:AboutYourBusinessSectionD:FundingRequest

SectionE:FinancialInformation(attachyourincomeestimations)

Section F:ConsentAcknowledgement

Once complete, to submit this form you will be required to save this document to your computer and send as an email attachment to . Alternatively, post to the VFF: 24 Collins street Melbourne 3000. Please do not post and email, choose one method.

Click on the shaded area of each section to begin typing.

SECTIONA: APPLICANTDETAILS
Name(s):
ABN:
BusinessName:
BusinessAddress:
ResidentialAddress:
PostalAddress(if differenttocurrent residentialaddress):
Phone: / Mobile:
Email:
Notes:
SECTIONB: REFEREES
Pleaseprovidetworeferees andtheircontactinformation.
Refereesprovidedbyapplicantsmaybecontactedwithoutpriornoticebeing given to theapplicant.
(Do not use family members, the referees will be used to assess your applications against the eligibility criteria)
REFEREEONE
Name(s):
Relationship to Applicant:
Phone:Mobile:
Email
REFEREETWO
Name(s):
Relationship to Applicant:
Phone:Mobile:
Email:
Notes:
SECTIONC:ABOUTYOURBUSINESS
Inassessingapplicationsto theFarmersFund,theselection panelwillassesstheviabilityofyourbusinessandyourcommitmenttotheindustry.Tohelpwith thisprocess,pleaseanswerthe followingquestions inthe textboxesprovided (right hand column) Click on the shaded area of each section to begin typing.
1)How do you describe your involvement in dairy?
Common examples:
DairySharefarmerDairyOwneroperatorDairyPropertyownerDairyLessee
Dairyemployee
Son ordaughteron familyfarm
2)Howmanycowsareyoumilking?
3) Whichmilkprocessordoyousupply?
4) Whatkindof feed systemdoyou have?(i.e.pasturebased,fodderbased,oracombinationofboth)?
5) Howmuchfeed doyou growat home?5a) Howmuchfeed doyoupurchase?
5b)Howmuchconcentrateareyou purchasing? / Homegrown %Purchasedin%Concentrate%
6) What isyourcalving pattern?
7) Areyou dryland orirrigation based?(Ifdryland,godirectly toquestion9)
8) If irrigation,what percentageof yourwaterispermanententitlementand whatpercentageistemporary?(i.e.40%permanent 60%temporary) / Permanent% Temporary%
9)How many employees do you have? / PartTimeFull TimeCasual
11)Howmanyhectares isyourproperty?
12)Do youownorleaseyourland? / Owned%Leased%
13)How many years have you beendairyfarming?
15)Haveyou everparticipated in DairyAustralia’sTacticsforTightTimes or Taking Stock? (Yes/No) /
16)Do you havea Dairybaseaccount?(Yes/No)
ABOUTYOURBUSINESS
17)Inthelastyear,whatstepshaveyoutakentoimproveyourdairyfarmbusiness,includingtheservicesofanyconsultants,discussiongroups,agronomic,nutritional,geneticorfinancial advisers? (200wordsorless)
18)Ifyouhaveabusinessplan,pleaseprovide3shortdotpointsonwhatitincludes.(Ifyoudonothaveabusinessplan,godirectly toquestion19).(200wordsorless)
19)Do you prepare abudget?(Yes/No)
20) If yes, how often do youupdatethisbudget?
SECTIOND: FUNDINGREQUEST
FundingAmount(mustbebetween $5000$10,000):$
If you are successful, what will you use the funds for? Please list each project, estimated cost breakdown and the benefit for your business:)
Project / Project 1 / Project 2 / Project 3
Project Description
e.g.
Installation of electric Gates on Dairy Yards / Project Description / Project Description / Project Description
Project Cost
e.g.
$22,435.40 / Project Cost / Project Cost / Project Cost
Project Benefit
e.g.
  • Hours of Labor saved
  • Improvements in productivity
  • Cost savings
  • Increases in sustainability
/ Project Benefit / Project Benefit / Project Benefit

SECTION F:CONSENTACKNOWLEDGEMENT

Fromtime totimeofficers ofFarmConnect, orits stakeholders, maycontactyoubytelephonetodiscussissuesdirectlyrelating toyourfarmingbusiness or toprovideinformationregardingindustry,research or promotionalactivities.

By signing this form, you consent to the following statements:

  • Ihaveread,understoodandconsenttoalltermsprovidedinthisapplicationformandthoseprovided

in theFarmersFund Guidelinesavailable atfarmersfund.org.au

  • I believe,to the bestofmyknowledge,theinformation I haveprovidedtobetrue and correct.

Name:Date:/ /

To submit your application, save this document to your computer and send as an email attachment to . Alternatively, print and post to VFF, 24 Collins St Melbourne 3000. Please only submit via post or email.