Office of Environment and Heritage
6350000NSW Environmental Trust River Connections Grant Program 2018 Application FormClosing Date: 3pm Monday, 25 March 2019Project title: FORMTEXT ?????Lead organisation: FORMTEXT ?????Trust funding requested:$ FORMTEXT ?????Applicant and consortia contribution:$ FORMTEXT ?????Total project value:$ FORMTEXT ????? About the programThe River Connections program is a large-scale contestable grant program with three main objectives:1.To establish partnerships that align multiple values into a common purpose to improve river health, that will continue beyond the program and its funding.2.To trial new approaches to integrated river management and connectivity that delivers improved health outcomes for inland rivers.3.To create an incentive for coordinated activities that contribute to improved river health. General Information To complete this Application Form you must use the latest version of Adobe Acrobat Reader (Adobe Reader XI). Please visit the Adobe website to ensure you have the latest version. It is free to download and install. The form will need to be saved each time it is closed and re-opened to complete. You have the option of saving a new version or overwriting the existing saved form.Once completed, save your application and send as an email attachment.Do not use Acrobat Pro – it will not save the data that you have entered into the form.Read the 2018 River Connections Program Guidelines and guide on How to Complete the Application Form. Answer every question. Where a question does not apply to your proposal, write ‘not applicable’ or preferably briefly explain why. This form is set in length and text boxes will not expand.Attachments should not be included unless they are considered essential. Email your entire Application to info@environmentaltrust..au by the closing date: 3pm sharp Monday 25 March 2019. Section 1 – Project Administration 1.1 Project lead organisation detailsName of organisation FORMTEXT ?????ABN FORMTEXT ?????Registered for GSTYes FORMCHECKBOX or No FORMCHECKBOX Postal address FORMTEXT ?????Suburb FORMTEXT ?????State FORMTEXT ?????Postcode FORMTEXT ?????What is the legal status of your organisation? FORMCHECKBOX State Government FORMCHECKBOX Local Government FORMCHECKBOX Incorporated association FORMCHECKBOX Community group* FORMCHECKBOX Other, please specify FORMTEXT ?????*If you are a community group and not incorporated, you will have to nominate a suitable organisation to administer your grant if you are successful. 1.2 Project ManagerThe Project Manager is responsible for overall project organisation, management, planning, implementation, monitoring, evaluation and reporting. Organisation Name FORMTEXT ?????Title FORMTEXT ?????First name FORMTEXT ?????Surname FORMTEXT ?????Position FORMTEXT ?????Daytime phone(0 FORMTEXT ?) FORMTEXT ?????Mobile FORMTEXT ?????Email FORMTEXT ?????1.3 Alternate ContactOrganisation Name FORMTEXT ?????Title FORMTEXT ?????First name FORMTEXT ?????Surname FORMTEXT ?????Position FORMTEXT ?????Daytime phone(0 FORMTEXT ?) FORMTEXT ?????Mobile FORMTEXT ?????Email FORMTEXT ?????Note:If the Project Manager or alternate contact changes you must notify the Environmental Trust within 7 days of the change.1.4 Organisation DetailsHow does your organisation make decisions? (e.g. Board, Committee, Quorum of members, etc.) FORMTEXT ?????Office Bearers:President/Chair/CEO FORMTEXT ?????Treasurer/CFO FORMTEXT ?????Are your officer bearers: FORMCHECKBOX ELECTED FORMCHECKBOX APPOINTEDNumber of years operating: FORMTEXT ?????Registration no. FORMTEXT ?????Number of employees FORMTEXT ?????How many members are there in your organisation? FORMTEXT ?????Can members of the public join your organisation? FORMCHECKBOX YES FORMCHECKBOX NO1.5 Administrator details (if applicable)Community groups or organisations that are not incorporated are only eligible to apply if they arrange for the grant to be administered by an incorporated or government anisation Name FORMTEXT ?????ABN FORMTEXT ?????Registered for GST?Yes FORMCHECKBOX or No FORMCHECKBOX Postal address FORMTEXT ?????Suburb FORMTEXT ?????State FORMTEXT ?????Postcode FORMTEXT ?????Title FORMTEXT ?????First name FORMTEXT ?????Surname FORMTEXT ?????Position FORMTEXT ?????Daytime phone(0 FORMTEXT ?) FORMTEXT ?????Mobile FORMTEXT ?????Email FORMTEXT ?????1.6 InsuranceIt is a condition of your grant that you have adequate insurance cover including public liability insurance of $10 million, workers compensation and volunteer pany FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Policy No. FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Coverage FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Currency (expiry date) FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????1.7 Previous project experience and relevance to project locationBriefly outline the previous experience held by your group and the consortium partners’ in undertaking projects of a similar nature. Explain how your organisation has links with the local area in which the project will take place. FORMTEXT ?????1.8 Previous Environmental Trust fundingPlease provide details of any other Environmental Trust grants that your organisation has received. Program(e.g. Restoration & Rehabilitation)Grant reference numberProject nameAmountStatus (eg: Current, Acquitted) FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????1.9 Other funding for this project location Please provide details of any funding that your organisation, or consortium partners, have received for this site/s, other than the Environmental Trust. Funding sourceYearProject nameAmountStatus FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Section 2 – Project Description 2.0 Project title FORMTEXT ?????2.1 Project description and outlineInclude in this section an outline of what the project is about, who you are engaging and how it is going to be delivered. As part of your description, consider and include a response to the following questions:What is the environmental problem/issue you are trying to fix?What will you do to fix the problem?What are the outcomes of your project? Please outline.What will success look like?How will the benefits/outcomes from this project continue beyond the life of the project?You should ensure this section aligns with the expression of interest assessment criteria in Appendix A. FORMTEXT ?????2.2 Project ScaleInclude in this section an outline of what scale is your project is at. As part of your description, consider the following questions:How have you determined that the project is at the most appropriate spatial, temporal and institutional scale? (Please refer to program guidelines about scale) FORMTEXT ?????2.3 Project Justification Include in this section an outline of why this approach is considered to be new/innovative and how it will overcome the challenges to integrated river management. FORMTEXT ?????2.4 Project location Provide location map(s) as attachments with your application.Where will the project take place?Site name(s), address and descriptionLatitude (decimal degrees) Longitude (decimal degrees)Local Land Services regionWhat is my LLS area?Local Government AreaWhat is my local council?State electorateWhat is my state electorate?Have you attached a regional context map? FORMCHECKBOX Yes FORMCHECKBOX NoGuidance on how to prepare your maps may be found here.Have you attached a site map? FORMCHECKBOX Yes FORMCHECKBOX NoWho owns the site? FORMTEXT ?????Do you have approval/permission to undertake works on the site? FORMCHECKBOX Yes FORMCHECKBOX NoMilestoneActivityProject measures (as per– Project Measures) and other measures appropriate to your projectTotal number of projected outputsHow will you measure progress towards your project measures and projected outputsWhen will progress be measured (at what stage e.g. annually, monthly after completion of the activity)Who is responsible for measuringMilestone commence-ment dateMilestone completion date FORMTEXT e.g. commence funding agreement FORMTEXT Establish Project Team FORMTEXT Partnerships established FORMTEXT 3 FORMTEXT Project Team operational FORMTEXT Completion FORMTEXT Trust Administration FORMTEXT June 2016 FORMTEXT June 2016 FORMTEXT Appoint Project Manager FORMTEXT Trust funded staff FORMTEXT 1 FORMTEXT Project Manager appointed FORMTEXT Completion FORMTEXT Grantee FORMTEXT June 2016 FORMTEXT June 2016 FORMTEXT Sub-contract expertise FORMTEXT Trust funded staff FORMTEXT 1 FORMTEXT Sub-contractor appointed FORMTEXT Completion FORMTEXT Project Manager FORMTEXT June 2016 FORMTEXT June 20162.5 Project schedule Please complete this section with regards to your project over timeframe (see Attachment A - project measures table).Section 3 – Consortium and Stakeholders River Connections projects are expected to be implemented through the collaborative efforts of a group of organisations (a consortium). Consortium partners can help leverage time, expertise, material, resources, and reduce duplication. They must be actively involved in designing your project, and have, and can show, the requisite capabilities and responsibilities to help to deliver your project. Your project must have all relevant consortium partners on board to effectively trial and achieve integrated river management outcomes. 3.1 Consortium partner organisationsProvide information on consortium partners, their role and type of agreement reached for their involvement. An example has been provided. Please delete and use this row to provide your response. Consortium partner organisationContact detailsRole in projectGovernance agreementRelationship and/or previous collaboration with partner organisation FORMTEXT E.g. East-West Local Land Services FORMTEXT John Smith – Senior Land Services Officer john.smith@lls..au (02) 9999 1234 FORMTEXT Assist with engaging private landholders, undertaking site assessments, assist with promotion and marketing of project. FORMTEXT Letter of support outlining commitment and contribution to the project. FORMTEXT Partnered on the delivery of Property Management Planning workshops FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????3.2 Consortium establishmentProvide a brief summary of the process conducted to identify and engage relevant consortium partners and the proposed governance model. Refer to the expression of interest assessment criteria at Appendix A. You should include all stakeholders who are required to effectively deliver an integrated approach to improved river health. FORMTEXT ?????3.3 Internal communication and decision makingDescribe the expected channels and frequency of communication between the consortium partners throughout the project. Describe the decision-making processes and procedures that will be adopted by the consortium for this project. FORMTEXT ?????3.4 Core businessExplain why this project is not the core business of any of the consortium partner organisations. You should also demonstrate the project is neither cost-shifting (using Trust funds to pay for activities which are the legal or obligated responsibility of another organisation) nor replacement funding (using Trust funds to pay for activities which have previously been funded but had that funding removed). FORMTEXT ?????3.5 Conflicts of interestDetail any real or perceived conflicts of interest that may relate to your project or consortium partners. Failure to declare a conflict of interest may result in your grant being revoked. FORMTEXT ?????3.6 Ethical behaviourProposed projects must comply with the requirements of the Office of Environment and Heritage (OEH) Statement of Business Ethics. Applicants must disclose any conflicts of interests above. Applicants must provide information in this EOI concerning any findings of dishonest, unfair, unconscionable, corrupt or illegal conduct against the organisation. If an applicant, or any of its employees, agents, subcontractors or consortium partners are found to have:offered any inducement or reward to any public servant or employee, agent or subcontractor of the OEH or the NSW Government in connection with this EOI or project proposal;committed corrupt conduct in the meaning of the Independent Commission Against Corruption Act 1988;committed dishonest, unfair, unconscionable, corrupt or illegal conduct; ora record or alleged record of unethical behaviour; or not complied with the requirements of the AgencyThe Trust may, in its discretion, invite the relevant applicant to provide written comments within a specified time before the Trust excludes the applicant on this basis. If the Trust becomes aware of improper conflict of interests by a successful applicant, after a grant agreement has been executed, then the Trust reserves the right to terminate the grant agreement, including any orders placed under that grant agreement.Applicable 3.7 Stakeholder Engagement PlanPlease use the influence and interest grid (Appendix A) to fill out the Stakeholder Engagement Plan for all project stakeholders, including consortium partners. You should include all those who are required to effectively deliver an integrated approach to improve river health.Interest/ influence quadrant(e.g. Keep satisfied, Manage closely, etc.)Stakeholder(Name, role and organisation)Purpose(What does the stakeholder need from the project, or what does the project need from the stakeholder?)Interest(What is the stakeholder’s interest, views or key skills in the project?)Level of influence on the project (Low, Medium, High)Message(s)(What are some key messages for this stakeholder?)Channel(s) and Communicator(What will be used to communicate to the stakeholder and who is responsible? e.g focus groups, social networks, feedback forms, website etc.)Target date/ frequency of communications FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Section 4 – Finance 4.1 Overview of funding sourcesProvide information on the consortium partner organisations expected to receive Trust funding and/or provide financial or in-kind contributions to the project. This section allows for an overview of the distribution of Trust funds as well as cash and in-kind contributions they will provide (over the full 10-year life of the project). An example has been provided, please delete and use this row for providing your own response. If you would like to include a more detailed project budget, please include this as an anisationPurpose of FundingTrust funding allocated ($)In-kind contribution ($)Cash contribution ($)Total ($) FORMTEXT Eg. East-West Local Land Services FORMTEXT Ecological restoration and fencing on project site to reduce threats. Monitoring of reduction in threats and response of species. FORMTEXT $50,000 FORMTEXT $50,000 FORMTEXT $30,000 FORMTEXT $130,000 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????$ FORMTEXT ?????TOTAL$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????$ FORMTEXT ?????4.2 Seed fundingIf your Expression of Interest application proceeds to Stage 2, will your organisation require seed funding (a grant of up to $30,000) to develop a full business case? If yes, please outline how you intend on spending the funds. Yes FORMCHECKBOX or No FORMCHECKBOX Please note this will be paid in two instalments on receipt of invoices. ActivityDescription (provide as much detail as possible)Amount ($) FORMTEXT Eg. Salary FORMTEXT Engage a temporary Project Officer to develop a business plan FORMTEXT $10,000 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????TOTAL $ FORMTEXT ?????4.3 Financial governanceDetail the internal control systems you will put in place to ensure that project funding will be utilised and managed appropriately and not used for cost shifting of proponent or consortium partner activities. FORMTEXT ?????4.4 General commentsPlease provide any further detail on how Trust funding would be used by your project, including how your project will contribute and add value to the Trust’s investment. FORMTEXT ?????Section 5 –Outcomes, Monitoring and Evaluation5.1 Outcomes Hierarchy and Evaluation FrameworkThis table is a summary of your project, mapping the needs of your project, the activities and expected results and how these will help achieve your ultimate outcome(s). It also details the evaluation questions and performance indicators that define how the project's success will be measured. These will be used by the independent subcommittee and the independent evaluator that the Trust will commission, to evaluate your project throughout its delivery, mid-term and at its conclusion. The independent evaluation will also be published on the web. An example has been included to provide guidance on how to complete this table. Please delete the example and enter your project details. OUTCOMES HIERARCHYEVALUATION FRAMEWORKOutcomes/Activities/ Needs (as applicable)Evidence/ AssumptionsEvaluation QuestionsPerformance IndicatorTargetToleranceBaselinePerformance InformationDescribe outcomesWhat are the assumptions on which you have based the hierarchy?How will you know you have achieved your outcome(s), and that activities have been delivered?What indicators will you use to demonstrate your success? Indicators should be written in plain EnglishInsert target (use a unit which provides the most appropriate measurement e.g. %, hectare, number)What is the agreed tolerance? E.g. +/- 10% variation of the expected target is acceptableInsert baseline (if known, or estimate)i.e. who will be responsible for collecting it and where will it come from?Ultimate outcome: The desired results you want to see at the end of your project FORMTEXT Improved integration of river management activities. FORMTEXT Trialling and testing approaches/techniques collectively rather than working in isolation will result integrated river management. FORMTEXT Has working collectively improved an integrated approach to river management? You will need to include appropriate indicators that will demonstrate you have achieved your outcome FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT Improved river health. FORMTEXT Improved integration of activities will result in more effective outcomes for river health. FORMTEXT Has river health improved? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Intermediate outcomes: What measurable improvement do you want in the medium term that will assist in reaching the ultimate outcome? FORMTEXT +/- 10% FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Immediate outcome: What measurable improvement do you want in the short term that will assist in reaching the ultimate outcome? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Milestones: What major tasks will you do to meet the needs and help reach your outcomes? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Issue: What is the need (and evidence) for this project? What are the issues you are trying to resolve? FORMTEXT To improve river health outcomes in New South Wales through more coordinated, efficient and effective river management FORMTEXT A total of 97% of river length in New South Wales has been altered by river regulation, habitat modification, land use practices and introduced pests and weeds. FORMTEXT N/A FORMTEXT N/A FORMTEXT N/A FORMTEXT N/A FORMTEXT N/A FORMTEXT N/A5.2 Developing A Monitoring, Evaluation and Reporting (MER) Framework Please describe the process you will undertake to develop an MER framework for your project. FORMTEXT ?????5.3 MER IndicatorsHow will you develop MER indicators to demonstrate progress towards outputs and outcomes? FORMTEXT ?????5.4 Consortium Partner and Stakeholder InvolvementWho will you involve (e.g. consortium partners, stakeholders) in monitoring and evaluation, and what role will they play? Are all stakeholders, who are required to effectively deliver an integrated approach to improved river health, involved in the consortium/project? FORMTEXT ?????5.5 Project ManagementWhat adaptive management processes do you have in place to respond to evidence gathered from monitoring? FORMTEXT ?????Section 6 – Risk Analysis and Management6.1 Risk Analysis TableList all risks identified for your project, along with the likelihood, impact and rating and a clear explanation of mitigation actions to help prevent their occurrence. Use the Risk Matrix (Appendix A) to calculate the overall rating of the risk identified.Risk DescriptionStep 1Current Risk AssessmentMitigating actionsStep 5LikelihoodStep 2ImpactStep 3RatingStep 4 FORMTEXT ?????Choose an item.Choose an item.Choose an item. FORMTEXT ????? FORMTEXT ?????Choose an item.Choose an item.Choose an item. FORMTEXT ????? FORMTEXT ?????Choose an item.Choose an item.Choose an item. FORMTEXT ????? FORMTEXT ?????Choose an item.Choose an item.Choose an item. FORMTEXT ????? FORMTEXT ?????Choose an item.Choose an item.Choose an item. FORMTEXT ????? FORMTEXT ?????Choose an item.Choose an item.Choose an item. FORMTEXT ????? FORMTEXT ?????Choose an item.Choose an item.Choose an item. FORMTEXT ????? FORMTEXT ?????Choose an item.Choose an item.Choose an item. FORMTEXT ????? FORMTEXT ?????Choose an item.Choose an item.Choose an item. FORMTEXT ????? FORMTEXT ?????Choose an item.Choose an item.Choose an item. FORMTEXT ?????Section 7 – Dissemination Plan What products and learnings do you anticipate creating through your project? How do you intend to use this to target your stakeholders? How will you share your learnings more broadly? Please use the table below to address these questions as part of your dissemination plan.Products / Outputs / Learnings to be shared StakeholdersMethod of dissemination to stakeholdersE.g. Research findings, new resources or techniquesPlease outline how you will target stakeholders from your stakeholder engagement plan, and other groups or members of the public more broadlyPlease describe how you will disseminate products, outputs or learning to stakeholders in a meaningful way, and how you will share learnings more broadlyE.g. produce a video based on research findings, promote this through a specific social media site or network, and show video as part of a presentation at a conference to the research community FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Section 8 – Referees and Authorisation8.1 RefereesPlease provide details of two referees we can talk to about your organisation and project. Referees should be external to your organisation and able to attest to your organisation’s capability to undertake the project, or the merit of the project itself.Referee 1Referee 2Name FORMTEXT ?????Name FORMTEXT ?????Title/position FORMTEXT ?????Title/position FORMTEXT ?????Organisation FORMTEXT ?????Organisation FORMTEXT ?????E-mail FORMTEXT ?????E-mail FORMTEXT ?????Phone no(0 FORMTEXT ?) FORMTEXT ?????Phone no(0 FORMTEXT ?) FORMTEXT ?????Mobile no FORMTEXT ?????Mobile no FORMTEXT ?????8.2 AuthorisationInclude the name of one office-bearer in your organisation (e.g. Chairperson, Treasurer, Chief Executive Officer or Executive Officer) who can attest to the accuracy of the information within the application.Name FORMTEXT ?????Title/position FORMTEXT ?????Organisation FORMTEXT ?????E-mail FORMTEXT ?????Phone no(0 FORMTEXT ?) FORMTEXT ?????Date FORMTEXT ?????Section 9 – Submission DetailsUse the following checklist to make sure that your application is complete and accurately represents your project. You should read the River Connections Grant Program Guidelines, particularly those sections covering the objectives of the program, eligibility and assessment criteria.Grant application check list FORMCHECKBOX Answer all questions in the application form. FORMCHECKBOX Check that answers to questions are fully contained within the limits of the text boxes. Type only in the spaces provided in the application form. The boxes provided for answers to questions are a set size; the boxes will not expand to accommodate additional text if you continue to type beyond the bottom of the text box. FORMCHECKBOX Are all stakeholders, who are required to effectively deliver an integrated approach to improved river health, involved in the consortium/project? FORMCHECKBOX Have you provided information that will assist with assessing all of the criteria in section 2.2? FORMCHECKBOX Has your application been authorised by the appropriately authorised person? FORMCHECKBOX Attach all required supporting information (Attachment A – Project Measures table and any additional supporting information) and provide a file name that clearly identifies them. FORMCHECKBOX Submit your application form and Project Measures table via email by the closing date 3pm 25 March 2019Email to:info@environmentaltrust..au Please email the Application form as a Word document - DO NOT PDF. Attachments can be emailed as Word, Excel or PDF documents – No other formats.Ensure you email your entire application, including all attachments, e.g. maps. Emailed applications must not be larger than 10MB including all attachments.No hard copy applications will be accepted.Closing Date:Monday 25 March 3pmAny application that is late, incomplete or ineligible will not be considered.APPENDIX A Expression of Interest - Assessment Criteria (for section 2.5)Stage 1 – Expression of Interest (EOI) Criteria Criteria 1: Identifies proposed project location and project outline, which aligns with the program objectives; identifies the environmental issue/s to be addressed; justifies and demonstrates the need for the project; and outlines the proposed actions and intended outcomes to achieve improved biological, ecological function or connectivity for inland riversoverall feasibility of the project (section 2 of EOI form).demonstration that the project is not cost-shifting and core business of government entities (legislative and regulatory requirements, substitute funding, activities necessitated by government decision). Criteria 2: Project lead organisation and consortium partners identified, and capacity of consortium partnerships. Outline of stakeholder engagement plan, capacity of stakeholder relationships identified and their level of interest in working together for the purposes of the project (section 3 of EOI form).Criteria 3: Clear and robust process outlined for developing a full monitoring, evaluation and reporting (MER) framework that can demonstrate achievement of outcomes (section 5 of EOI form).Criteria 4: Appropriate risk identification and management of barriers, threats, opportunities in integrated river management (section 6 of EOI form).Criteria 5: Outline of a dissemination plan to capture and share lessons (section 7 of EOI form).Criteria 6: Demonstrates how the project will contribute to and add value to Trust investment over the 10 years, including levels of cash and in-kind, co-contributions. Demonstrates good value for money (section 4 of EOI form). Stakeholder influence and interest grid (for section 3.7) Risk matrix (for section 6.1) ................
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