GRANT APPLICATION #
OFFICE USE ONLY
ORGANISATION DETAILS
Name
Address / Postcode
ABN / REGISTERED FOR GST? YES / NO
CONTACT PERSON – DAY TO DAY COORDINATION OF THE PROJECT
Title / First name / Surname
Email address
Postal address
(if different to above)
Telephone / Work / Mobile
ALTERNATIVE CONTACT PERSON
Title / First name / Surname
Email address
Postal address
(if different to above)
Telephone / Work / Mobile

Please read the KAB Community Litter Grants Guidelines before you proceed.

Submissions should be emailed to:

Please mark subject: Community Litter Grant – Your business/group name

ABOUT YOUR PROJECT – submissions should be no longer than tenpages, including the cover sheet, organisation details, project timeline and budget templates. The submission must be concise and provide information on the following areas.

  1. PROJECT TITLE AND SYNOPSIS 40 words
  1. PROJECT DESCRIPTION 150 words
  1. LITTER ISSUES150 words

Research

  • A stated understanding of the litter problem in the project area.
  • Consider research into litter prevention strategies as described by other organisations nationally and/or internationally.
  1. TARGET AREA/GROUP/ PARTICIPANTS150 words

Scope of the project

  • Does the project have a far reaching effect on the community?
  • Is there an educational component to influence long term litter prevention behaviour change?
  1. PARTNERSHIPS 100 words

Partnerships

  • Engagement of stakeholders in the planning, delivery and continuation of the project.
  1. PROJECT STRATEGIES 250 words

Integration

  • Use a combination of approaches to litter reduction.

Innovation

  • Whether the project possibly provides a model for others.
  • Does it introduce a new solution to the problem?
  1. FUNDING PRIORITIES 150words

Cost effectiveness

  • Measure the grant cost against anticipated benefits to the community.
  • Has the applicant secured further funding including co-contributions and in-kind support?
  1. EVALUATION (use the attached ‘Evaluation’ sheet)

Evaluation

  • Measurable short and long term objectives based on sound research, planning and evaluation.
  • Litter audit, surveys or other methods of appraising the project conducted at the beginning, during and at completion of the project.
  1. PUBLICITY OF PROJECT100 words

An acknowledgment of funding assistance by Keep Australia Beautiful Western Australia must be included in any advertising and on any material relating to the project for which the funds were allocated including the KABC logo (email ).

  1. PROJECT ACTIVITES (use the attached ‘Project timeline’ sheet)
  1. BUDGET (use the attached ‘Proposed Project Budget’ sheets)

Evaluation (Section 8 - Evaluation)
Activity / Description of evaluation method
The evaluation needs to include tangible results to show the success of the project. The evaluation methods need to be decided upon before the project commences.
Litter clean-ups/counts/audits, photographic evidence of project, design briefs, questionnaires, media updates, before and after photographsetc
EXAMPLE:
Clean-up of littered community area. / Social media and newsletter updates about the clean-up.
Before and after photos.
Number of volunteers taking part (hours completed, group photo).
Complete litter audit of items collected.
EXAMPLE:
Provide filtered water dispenser at local events. / List of events dispenser used at.
Number of litres of water used through dispenser.
Estimate of plastic bottles reduced from landfill based on 600ml=1 bottle.
Project timeline(Section 10 - Project activities)
Activity / Objective / Start Date / Approximate End Date
EXAMPLE:
Clean-up of littered community area. / Organise date for community clean-up.
Liaise with community groups and schools for suitable date.
Complete Adopt-a-spot registration and volunteer form.
Hold clean-up and litter audit. / 01/07/2017 / Date of clean-up
Proposed Project Budget (Section 11 -Budget)
A.Expenditure item(include invoices if available)(these will be the items considered for the grant) / Cost / GST / Total Cost
Total
B. INKIND CONTRIBUTION (donated goods)
Organisation name
Expenditure item / Cost / GST / Total Cost
Total
C.INKIND CONTRIBUTION (services and volunteers)
Organisation name (number of volunteers)
Use of volunteer time / Hours of contribution / Rate per hour
$32.53 / Total value of volunteerhrs
Total
Financial contributions / Amount / GST / Total Amount
Applicant financial contribution
Other stakeholder financial contribution
Other stakeholder financial contribution
D. Funding contributions
FINAL BUDGET FIGURES / Amount / GST / Total Amount
A. Project expenditure
D. Funding contributions
A-D= Funding shortfall
KAB grant funding sought
  1. DECLARATION

I declare that the information presented on this form is correct and understand that if the grant is approved by KABC, we will abide by the undertakings and conditions outlined in the information kit.

Grant Applicant #1
Name:
Signature:
Organisation:
Date:
Grant Applicant #2
Name:
Signature:
Organisation:
Date:

KABCWA Community Litter Grants

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