Greater Sydney Community Landcare Grants - Round 4
PLEASE NOTE THIS FORM CANNOT BE SAVED. We encourage you to complete your Expression of
Interest (EOI) offline and then copy and paste it into the form when you are ready so you do
not lose your work.
Please ensure you read the Community Landcare Grant Application Guidelines carefully before
completing this form.
This programme is supported by Greater Sydney Local Land Services (LLS) through funding from
the Australian Government's National Landcare Programme.
GRANT APPLICATION FORM
Contact details
Please provide contact details for your project and any relevant sponsor details (if applicable). If
uncertain as
to whether your project requires a sponsor please refer to the guidelines.
Name of applicant
Name of business (if applicable)
Name of community group / organisation (if applicable)
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone number
Mobile number
Email
Please tick which tax status applies to your group:
No ABN
ABN but not registered for GST ABN and registered for GST Charitable Status
ABN (if applicable)
If you are a group/ organisation and you are not incorporated, please provide:
Name of sponsor organisation
Name of sponsor contact
First
Last
Sponsor phone number
Sponsor email
Sponsor ABN
About your project
Please complete the following sections telling us about your project
Project title
When will your project commence?
/
DD
/
MM
YYYY
When will your project finish?
/
DD
/
MM
YY
Provide a brief description of your project including aims,
objectives and the activities that you plan to undertake.
Maximum Allowed: 300 words
Please provide a location (include Local Government Area) of your
project and a description of how the neighbouring land is used.
For on ground works please provide street address and for
education activities please provide proposed locations of
workshops or events.
Maximum Allowed: 300 words
Please provide details of how you propose to monitor and
evaluate your project.
Maximum Allowed: 300 words
How will you manage potential risks associated with your
project? Consider risk to safety, the environment, project
delivery and future risk from climate change.
Maximum Allowed: 300 words
Site plan
If your project includes on-ground works such as bush regeneration, please provide a map of where your
project is located and a basic site plan indicating where the works will take place. If you project is purely
educational you do not need to complete this section.
You can develop your own map using the online mapping tool provided on the LLS website. Please see the
guidelines for more information on how to use the mapping tool.
If you already have a map / site plan you can upload it here.
Choose File
No file chosen
Strategic objectives
Please choose ONE strategic objective that best fits your project from the two objectives listed below. Please
see the guidelines for more information.
Please choose the strategic objective below that best represents
your project:
Maintain and improve ecosystem services through sustainable
management of local and regional landscapes
Projects that aim to build community awareness, participation,
skills and knowledge in caring for their environment,
including Aboriginal knowledge
Project outputs
Please indicate below any outputs that your project will deliver on. Please note you only need to choose the
outputs that are relevant to your project.
Area of land (ha) which will be improved as a result of the
project
Up to 1 hectare managed 15 hectares managed
Greater than 5 hectares managed
Number of people participating in activities to care for their
environment.
Up to 20 people
20 - 100 people
Greater than 100 people
Number of groups participating in activities to care for their
environment.
1 group participating
Between 2- 5 groups participating
Greater than 5 groups participating
Number of indigenous people participating in activities to care
for their environment.
Up to 20 people participating
Between 20 - 100 participating
Greater than 100 participating
Project budget
Please complete and attach the excel template provided showing all the major activities and associated
budget items that you will require to undertake your project.
The template can be downloaded from the LLS website.
Total funds sought from LLS
$
.
Total in-kind contributions
$
.
Project Referee
Please provide the contact details for a referee who can verify your project and your capacity to undertake
the project below.
Name of referee
Name of referee organisation
Referee phone number
Referee email
LLS Contact
Please select the LLS officer that you have discussed your EOI with.
Landowner permission
Who owns the land? Please ensure you discuss your project with the land manager/owner and obtain their
permission for the project works BEFORE submitting your EOI to LLS. Please provide the contact details for
the land manager/owner below.
Name of organisation
Name of contact
Phone number
Email
Other
Please provide further details on previous funding and any other conflicts of interest you or your group
might have.
Please provide details of any previous funding you have received
Do you have any outstanding projects where funds have not
been acquitted and/or final report not completed? If yes
please provide details
Please provide information on any conflict of interest you may
have with LLS eg. Being a staff member or their family or a
member of an LLS committee.
How did you hear about the Greater Sydney Community
Landcare Grants?
Landcare newsletter
LLS officer
local paper
LLS website
word of mouth
other
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