NRM Connecting Communities Grants 2017-18

APPLICATION FORM

Please ensure that your organisation is eligible to apply by referring to the Guidelines for Applicants.

Question 1 – Applicant details

Provide your organisation’s name, nominate a project manager, and identify any partnering organisations involved in delivering the project.

Organisation’s name

Incorporation number

Australian Business Number (ABN)

Registered for GST?

Project manager’s name

Partnering organisations

Question 2 – Project title

Provide a brief and clear title for your project.

Question 3 – Project duration

What are the proposed start and finish dates for the project. Projects may begin from 1 July 2017 and must be completed by 30 June 2018.

Project start date

Project finish date

Question 4 – Project location

Which of the following subregional areas will the project include (see map in guidelines):

Question 5 – Regional program areas

Which of the following Natural Resources SAMDB program areas does the project relate to:

Question 6 – Project description

Write a brief description of the project. This should provide those assessing the application with a good understanding of the project including the issues it focusses on, how it proposes to address them, and any particular locations, communities, industries etc. that are being targeted.

How will the community / region benefit from the project?

Question 7 – Project objectives

List the project’s objectives – what is it aiming to achieve? The number of objectives will vary depending on the nature of the project however it is unlikely that any project would have more than six. When forming these also be aware that later in the application (Question 9) you will be required to detail the methodology and deliverables associated with each objective.

Question 8 – Project alignmentwith relevant plans and strategies

Please describe how the project aligns with relevant plans and strategies. Of particular interest is how the project relates to the priorities identified in the SAMDB Regional Action Plan. Information on subregional priorities (for the areas listed in Question 4) can be found at

Question 9 – Methodology and deliverables

For each of your project’s objectives (as listed in Question 7), identify how your project will achieve them (methodology) and describe the specific deliverables for each 6 month reporting period. Each deliverable must be measurable and should provide sufficient detail for assessors to gain a good understanding of your proposed project (i.e. ‘2 community workshops on topic X’ rather than just ‘workshops’). You will be required to report in detail on these deliverables.

Project objective
(from Question 7) / Methodology / Deliverables
1 July 2017 – 31 Dec 2017 / Deliverables
1 Jan 2018 – 30 June 2018

Please add more rows if required.

Question 10 – Standard project outputs

Standard outputs are required to enable collation and reporting of contributions to Regional and Australian Government targets. The table is separated into Sustainable Environment and Sustainable Agriculture outputs to match the National Landcare Programme’s separate funding streams and reporting processes. Where the figures are uncertain please provide your best estimate / prediction. If successful, you will be required to report in detail on these outputs, including locations where relevant.

Project outputs

Number

Sustainable Environment outputs

No. of Sustainable Environment focused groups supported / engaged

No. of individuals engaged in Sustainable Environment issues / projects

No. of Sustainable Environment related workshops / training events

No. of Sustainable Environment related community field days run / attended

No. of Sustainable Environment related communication activities (media releases, newsletters, websites, social media etc.)

Sustainable Agriculture outputs

No. of Sustainable Agriculture focused groups supported / engaged

No. of individuals engaged in Sustainable Agriculture issues / projects

No. of Sustainable Agriculture related workshops / training events

No. of Sustainable Agriculture related community field days run / attended

No. of Sustainable Agriculture related communication activities (media releases, newsletters, websites, social media etc.)

General outputs

No. of partnerships developed with Aboriginal groups or organisations

No. of Aboriginal people involved

No. of volunteers supported (individuals and members of the above community groups)

No. of short-term volunteers engaged (i.e. not regular local NRM volunteers)

No. of schools supported / engaged

No. of funding applications developed / supported

Question 11 – Capability and capacity

It is essential that the organisation submitting the proposal has the appropriate governance structures, resources and financial capacity to successfully deliver the project and meet the contractual obligations. Outline your organisation’s capability and capacity in relation to delivering this project.

Question 12 – Local knowledge, experience and involvement

Describe your organisation’s knowledge of the project area and its community, and discuss your experience delivering this type of project. Outline how the local community has been involved in the development of the project and how they will be involved in managing its delivery. Please attach letters of support from relevant people / organisations.

Question 13 – Project staff

If your project is employing staff, identify the level of full time equivalent (FTE) that will be directed towards each project objective and the function / role of the staff. Include the names of the staff, if known, and where they will be based.

Project objective / number

FTE level

Staff function/role

Staff name (if known)

Staff location

Total project FTE

Question 14 – Partnerships

Describe any partnerships that will be developed and/or supported through this project. Of particular interest are partnerships that can be established which create improved effectiveness and efficiency of delivery across the region, and those which will help to maintain the project’s outcomes into the future. Please attach letters of support from proposed project partners.

Question 15 – Communications and engagement strategy

Identify who will be involved in your project, at what level you intend to engage them, and how you will do this.

The levels of engagement in the table below (inform, consult, involve, collaborate and empower) are based on the International Association for Public Participation (IAP2) Public Participation Spectrum. More information on the spectrum and other community engagement planning tools can be found on the South Australian Government’s Better Together website

Level of engagement (lowest to highest)
INFORM / CONSULT / INVOLVE / COLLABORATE / EMPOWER
Who? / Who? / Who? / Who? / Who?
How? / How? / How? / How? / How?

Question 16 – Risk management

It is important that risks to your project are identified and considered early. Risks may relate to internal issues (e.g. staff turnover) or external factors (e.g. seasonal conditions).

List the major risks associated with your project and identify their likely consequences, risk rating (use risk matrix table below) and the strategies you will put in place to manage them.

Risks

Likely consequences

Likelihood of risk occurring (see matrix below)

Level of consequence of risk occurring (see matrix below)

Risk rating (see matrix below)

Management strategy

Likelihood of risk occurring

Rare

Unlikely

Possible

Likely

Almost Certain

Consequences of risk occurring

Catastrophic

Major

Moderate

Minor

Insignificant

Risk ratings: E (extreme risk), H (high risk), M (moderate risk), L (low risk)

Question 17 – Monitoring, Evaluation, Reporting and Improvement (MERI)

Please describe how you will monitor and evaluate the success of your project with respect to its:

Impact – what has changed as a result of the project’s activities?
Effectiveness – were the planned activities and objectives achieved?
Appropriateness – did the project meet the needs of the community and use best practice?
Efficiency – was the project undertaken in the most efficient way?

Successful projects will also be required to answer a number of additional standard key evaluation questions for regional program-wide MERI.

In addition to answering key evaluation questions projects must also ensure that adequate data / information is collected to enable 6-monthly reporting on project objectives (as identified in Question 7), deliverables (as identified in Question 9) and standard outputs (as identified in Question 10).

A standard post-event evaluation form for participants will be provided to all successful applicants to enable training events, workshops, etc. to be evaluated in a consistent manner across the region. It is a requirement of funding that this form be used and that the data is reported back.

Question 18 – Project budget

Please complete the separate MS Excel budget template provided.

Note: All amounts should be GST exclusive.

Question 19 – Project contacts

Project contact 1

Name

Address

Organisation

Email address

Phone / Mobile

Question 20 – Declaration and consent

I confirm that the applicant is an eligible organisation as per the Guidelines for Applicants.
I certify that the application form has been checked for errors and that the organisation is supportive of the project.
I consent to the release of information in this application form for commercial, publicity and public information purposes.
I concur with the South Australian Murray-Darling Basin Natural Resources Management Board’s grant acquittal policy which requires “A certified statement of income and expenditure relevant to the grant to be provided by the grantee, annually or on completion of the project as appropriate.”

Signature

Name

Position

Date

(To be signed by two members of the organisation)