Natural Resources South East

Natural Resources South East

Sponsorship Application

1. PROJECT/ACTIVITY TITLE PROJECT TITLE

1.2 / Project title (in 8 words or less)

1. APPLICANT DETAILS

Name of applicant

2.1 / Legal name of organisation or individual
Trading name (if different to legal name)

Contact person for application

This should be someone authorised by the group, has good knowledge of the project and can answer questions on the application if required.

2.2 / Community group details
Title / Phone (daytime)
First Name / Facsimile
Last Name / Mobile
Position in organisation
Email address
Address
Town / Postcode

Applicant Identification & GST registration

2.3 / Australian Business Number (ABN)
2.4 / Is your organisationGST registered? / Yes / No

1. PROJECT DESCRIPTION

3.1 / Project description (max 500 words)
Please provide a summary of the project outlining:
a)The purpose of the project/activity/event
b)How does the project/activity align with the Board’s NRM Plan? Please tick from below which of the 5 themes best suits your activity:
1. / Involving Primary producers to either actively participant in on-ground NRM or increasing their skills and knowledge in NRM
2. / Supporting community groups or volunteers to participate in NRM activities in the region.
3. / Engaging youth to increase understanding or participation in NRM Activities.
4. / Increasing the community awareness and understanding of local NRM issues.
5. / Increasing the understanding, appreciation and respect for Aboriginal issues in NRM and/or engaging and involving Aboriginal communities in NRM activities.
c)How many people will be involved in the project/activity?
d)What type of people are you targeting in your project? E.g. Dairy farmers, urban people, bird watchers
e)How do you think the natural resources of the South East region will benefit from the project/activity?
3.2 / Acknowledgement
Please provide a brief summary of how the project will acknowledge the sponsorship of the Board. This may include adding the logo to promotional material, acknowledging the Board during introductions.

1. PROJECT BUDGET

Please itemise each activity of the project with an estimated cost and approximate time when it will be carried out. Volunteer labour is to be costed at $30/hr. If you have sought any quotes please attach copies with your application.

Description of item,
quantity & cost per unit / Timing
month/yr / A. Applicant contribution / B.Other contributions / C. Sponsorship Funding sought / Total activity costs (A+B+C)
Amount / Name of contributor
Total project costs

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1. SIGNATURES

All applicants must fill in and sign the section below.

I/we the applicant declare that the information given in this application is complete and correct and that the group/organisation represented supports the project. I/we understand that the information provided in this application may be disclosed to the South East Natural Resources Management Board and the assessment panel.

Applicant group/individual
Name of representative
Position
Signature
Phone number / Date

The table below provides confirmation by landowners or land managers that the project works may proceed on the site.

I, the landowner/manager confirm that the project activities as described in this application may proceed on my property and grant permission for South East Natural Resources Management Board representatives or their agents site access for purposes of project assessment if required.

Landowner/manager (if different from applicant)
Name of landowner/manager
Name of signatory (if different)
Signature
Phone number / Date