Community Renewable Energy in NSW

Expression of interest (EOI) form

Closing date: Thursday 21 February 2013

Organisations that want to apply for funding for community renewable energy projects in NSW need to submit information in two stages:
  • stage 1– complete this form and email it to by5pm Thursday 21 February 2013
  • stage 2 – if your project is selected for stage 2, you will be invited to complete a detailed application proposal. NSW Renewable Energy Coordinators will help applicants to prepare detailed proposals.
Before completing this form, discuss your project with a Renewable Energy Coordinator to ensure it is valid for consideration for grant funding. You should also readCommunity renewable energy in NSW –Guidefor expressions of interest in funding, which is available at
For a printed copy of the guide or this form,or for assistance in completing this form, contact aRenewable Energy Coordinator.
To complete the form,fill in the fields highlighted . You can submit your form as either a savedWord document (please ensure it is saved as a .doc file compatible with MS Office 2003, not as a .docm or .docx file) or as aprinted and scanned file saved as a pdf or jpg file.

Part A: Applicant details

1. The organisation

Name of organisation:
Postal address:
Suburb: / Postcode:
Is your organisation registered for GST? / Yes No
ABN (if any):
What is the legal status of your organisation?
Note: Your organisation must be legally incorporated to be eligible for funding

2. Nominated contact

First name: / Last name:
Position in organisation:
Phone: / Mobile:
Fax:
Email: / @.

Part B: Project details (general)

Location(s) ofproject (please provide full address and postcode)
Note: Your project must be located in NSW. / ,NSW
Provide a summary of your proposed community renewable energy project. Include information on:
  • the nature of the project (e.g. what does it aim to achieve and what does it involve?)
  • whythe project will be a ’community‘project(e.g. managed by the community)
  • current status of the project and projected timeframe for completion
  • overall estimated budget of project.

Is it intended that the final project will be majorlycontrolled by the local community?
Note: It must be intended that your final project will be majorlycontrolled by the local community. / Yes
What generatingtechnology is your community renewable energy project expected to use (e.g. solar, wind, hydro power)?
Note: Preference will be given to projects using a commercially proven renewable energy technology.
What is the expected generation capacity of your community renewable energy project?
Note: Your project must generate more than 70kW. / kWor MW
Is your project expected to be gridconnected (either to a transmission or distribution network?)
Note: Your project must be intended to be connected to the electricity grid. / Yes
Which NSW Renewable Energy Coordinator(s) has your organisationbeen in contact with?
Note: You must have been in contact with a Renewable Energy Coordinator to be eligible for funding. If your project is outside a precinct area, please contact the coordinator from the precinct closest to your project.

Part C: Project details (specific)

Provide a summary of ways in which the project will useexisting skills, knowledge and networks in your community.
How will your project involve your community? What are the project’s key messages?
What potential options have been identified for funding the project? Have any funding sources been confirmed?

Part D: Proposed use of funding

Approximately how much funding are you seeking?
Note: It is expected that most applicants will be seeking between $30,000 and $60,000 / $(ex GST)
Please provide a breakdown ofhow the grant would be used
Activity / Description / Cost (ex GST) / Completion date for use of funding
Note1: Funding must be used by 30 June 2013. All works carried out must be invoiced before that date.
Note2: Funding will be subject to the negotiation of a funding deed with successful applicants.
Note3: Funding will be conditional on applicants granting OEH an appropriate licence for OEH to use materials generated as a result of this funding. Applicants will also be obliged to provide this material to OEH.

Part E: Key personnel in your group

Name / Function in project / Experience/qualifications

Part F: Declaration and undertakings

I declare that the information given in this application is complete and correct. / Yes
Name:
Date: / February 2013

Submit this form to

OEH 2013/0086

February 2013

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