Native Title Officer Funding Scheme
Application Form
Funding period 1 July 2017 to 30 June 2018
The Native Title Officer Funding Scheme (the scheme) is administered under the Native Title (Assistance from
the Attorney-General) Guidelines 2012 (the Guidelines).
Directions for completing this form and the relevant documents that must be submitted with the
application
This application form must be completed in accordance with the Guidelines and Information sheet
(Attached). Applications must be accompanied by:
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a proposed Native Title Officer (NTO) duty statement
documents to evidence your organisation’s ability to match Commonwealth funding, for example,
evidence of the proposed NTO’s annual salary or work arrangements, and
most recent annual financial statement (if exceptional circumstances apply) setting out annual income
from all sources, total value of all assets and total balance of all savings/shares.
The Guidelines and a sample duty statement can be accessed here.
Lodging applications
Fully completed applications must be submitted by 30 April 2017 to [email protected] or via post to:
Assistant Secretary
Legal Assistance Branch
Attorney-General’s Department
3-5 National Circuit
BARTON ACT 2606
Late or incomplete applications
The Attorney-General’s Department (the department) will not assess late or incomplete applications.
Applications will be deemed incomplete if:
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all questions are not answered, or are only partially answered
the proposed NTO duty statement is not provided, and/or
the required supporting documentation is not provided.
For further information, or if you have any questions, please contact the Financial Assistance Section between
8:30am and 5:00pm EST, Monday to Friday on (02) 6141 4770 or 1800 117 995, or by email at
[email protected].
Section 1 – Applicant details
Name of organisation:
Primary contact person:
Position:
Telephone:
Email:
Postal address:
Australian Business Number (ABN):
Name of NTO (if known):
Summary of NTO’s experience (if applicable):
Section 2 – Funding Proposal
1. Please provide the amount of funding requested for the grant period 1 July 2017 to 30 June 2018 (please
include details of salary, and number of days per week and weeks per year it is proposed the native title
officer will work).
Amount of grant sought $
Yearly salary $
Number of days per week
Weeks per year
Any other information or explanation you wish to provide.
2. What sector does your organisation represent, and are you a peak industry body?
3. Please outline the scope of the proposed work.
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4. Please outline the nature of the interests and the rights of the respondents that the NTO will be assisting.
5. Please indicate the outcomes sought to be achieved by employing a NTO.
6. Please outline how the NTO position will achieve value for money (including the number of respondents
likely to benefit and the number and scope of current native title claims in which the respondents are
actively involved).
7. Please provide evidence of your organisation’s ability to match the department’s investment, noting the
requirement that NTO grants must be matched on at least a dollar-for-dollar basis for native title officer
work.
Organisations co-contribution amount for native title officer work $
This comprises:
Salary costs - $
$
$
$
Any other information or explanation you wish to provide.
8. Has your organisation previously received funding for a NTO?
9. Please provide evidence of your organisation’s ability to undertake the proposed activity and manage the
funding.
10. What are the key performance indicators of the NTO position?
Section 3 – Evaluation
11. Detail the evaluation plan that will be used by your organisation to evaluate whether the employment of
a NTO has assisted in achieving the outcomes identified in question five.
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Section 4 – Supporting documents
You must attach the below documents to support your application:
General documents
Duty statement for the proposed NTO position (there is an example duty statement on the
department’s website).
Documents to evidence your organisation’s ability to match Commonwealth funding.
For example, evidence of the proposed NTO’s annual salary or work arrangements.
Financial documents
Most recent annual financial statement (if exceptional circumstances apply) setting out annual income
from all sources, total value of all assets and total balance of all savings/shares.
Section 5 – Declaration and additional information
Declaration
I,
_______________________________ declare that:
I am duly authorised to make this application on behalf of the applicant organisation. The information provided in
this application is true and correct to the best of my knowledge. I understand that any omission or false statement
may result in the rejection of this application.
Sign to accept the declaration ________________________________________________________
Position in organisation _____________________________________________________________
Privacy
The Attorney-General’s Department is subject to the Privacy Act 1988 (Cth) which requires that we comply
with the Australian Privacy Principles (APPs) set out in the Act. Any information you provide to this
department will be treated in accordance with the APPs, which set out how Australian government agencies
must collect, use, store and disclose personal information and how individuals can access records containing
their personal information. Identifying information about recipients of NTO grants will be published on the
department’s online grants register.
Sign to acknowledge ________________________________________________________________
Freedom of information
Your completed application, as documents in the possession of this department, is subject to the operation of
the Freedom of Information Act 1982 (Cth) and could, subject to the provisions of that Act, be released
pursuant to a request made under it. However, there are various exemptions available under the Act,
including those that ensure that certain personal information or information relating to business affairs is not
unreasonably disclosed to the public.
Sign to acknowledge ____________________________________________________Dated
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