Innovation Grants application form - bulletpoint.com.au€¦ · Web viewFarmers includes...

Innovation Grants

Application form

Table of Contents

Important tips.................................................................................................................................3Section 1: Applicant details.........................................................................................................4

1.1 Individual or organisation details...............................................................................................41.2 Primary contact details................................................................................................................4

Section 2: Project Executive Summary......................................................................................5Section 3: Project Location..........................................................................................................5Section 4: Outcomes....................................................................................................................6Section 5: Project Activities........................................................................................................9Section 6: Project Budget..........................................................................................................11Section 7: Value for money........................................................................................................12Section 8: Organisational Capacity..........................................................................................13Section 9: Risk Management.....................................................................................................13Confidentiality and privacy........................................................................................................15Declaration...................................................................................................................................16Submitting your Application......................................................................................................16

INNOVATION GRANTS APPLICATION FORM of 16

Important tips Be sure to read the questions in the application form carefully.

Complete the application using the “How to Apply” guide on the Caring for our Country website at www.nrm.gov.au.

All fields in the application form have varying word limits. The character count limits set in the application form are final and should not be exceeded. Any text that exceeds the prescribed character limit will not be considered when your application is assessed. The character count includes spaces.

You cannot include images or attachments with your application form.

Questions marked with a * are mandatory and must be answered in order to submit your form.

Unless specified in the instructional text of the application form, no question should be deleted from the application form.

Only answers to questions included in the official application form will be assessed. Projects will be selected through a competitive grants process and assessors need all the information in the application form to be completed to ensure applications can be compared equally.

All information must be true and correct. Read and understand the declaration on the last page of the application form before agreeing and submitting.

Advise partners listed in the application form that they may be contacted by the Department of Agriculture, Fisheries and Forestry (DAFF) to confirm partnership arrangements. They must be prepared to confirm their partnership arrangement in writing on request.

If you require further information, please see frequently asked questions.

Completed application forms should be emailed to [email protected] by 2 pm Australian Eastern Standard Time,

4th July 2013.

When you submit the application, an email confirming your submission will be sent to the Primary Contact email address. The application form cannot be edited once submitted to the email address.


mailto:[email protected]

http://www.nrm.gov.au/

Section 1: Applicant details1.1 Individual or organisation detailsLegal name* Name or Trading Name Do you have an Australian Business Number (ABN)?*

Yes No

Australian Business Number (ABN) Are you GST registered? * Yes No

Entity Type*

Select applicable options Individual Incorporated entity (incorporated association or incorporated joint venture) Corporations Act corporation Partnership Trustee of a trust Aboriginal or Torres Strait Islander corporation, council or incorporated association Government related entity

Is your organisation an Aboriginal or Torres Strait organisation?*

Yes No

1.2 Primary contact detailsPrimary person for the applicantThe primary contact person should be a person in the organisation who is contactable during the project assessment period and will be involved in the day-to-day management of the project.Title First name* Last name* Position inorganisation*

Phone number (business)*

Phone number(after hours)

Phone number(mobile)

Facsimile

PO Box or Street Address*

Suburb/Town* State/Territory* Postcode* Email* Note: all correspondence will be emailed to this email address.

Authorised PersonThis is the person with the power to bind the applicant in a funding deed for the value of this project.Title First name* Last name* Position inorganisation*

Phone number (business)*

Phone number(after hours)

Phone number(mobile)

Facsimile

PO Box or Street Address*

Suburb/Town* State/Territory* Postcode* Email*


Section 2: Project Executive Summary2.1 Project Title: *Provide a title which indicates what your project will achieve.(maximum of 80 characters, approximately 12 words)

2.2 Provide a short description of your project - including the outcomes, the natural resource issue and activities(maximum 750 characters, approximately 100 words)For example: This project aims to address (natural resource management issue) in the <industry> of <local/region/state/> by undertaking….. <activities>.

2.3 What production type does the project relate to? You can select more than one.

Cropping Grazing Horticulture Agroforestry (or farm forestry) Fishing Aquaculture Other Please specify

2.4 Funding Sought: *Please provide total funding sought for your project(GST exclusive).$

Section 3: Project Location

3.1 Which locations will be covered by your proposal*

List the nearest town or named locality to your project.If your project is across a large area, choose a central point*

State / Territory and NRM region*To find the name of your NRM region, click http://www.nrm.gov.au/about/nrm/regions/index.html

Latitude and longitude*Please provide the latitude and longitude of our project in decimal degrees. If your proposal covers a large area, provide the latitude and longitude of a point at the centre of the project area.

Does your project cover multiple sites?Specify locations.

Will your project take place on public or private land? Or both?


http://www.nrm.gov.au/about/nrm/regions/index.html

Section 4: Outcomes4.1 Which Caring for our Country Sustainable Agriculture stream strategic objectives does your application align with?

(It will not necessarily improve the chances for funding if project addresses multiple strategic objectives)

Sustainable production of food Innovation in Australian agriculture and fisheries practices Reduced impact of weeds and pests on agriculture Improved management of agriculture and fisheries and the natural resource base Skilled and capable Landcare community

Innovation Grants five-year outcomes:

Which of the following five year outcomes does your project address?*Note: Your project must target at least one of the priority five year outcomes. Applicants are encouraged to contribute to the “additional” five year outcomes. Projects that address multiple five year outcomes will not necessarily improve the chances for funding.

Identify the number that will be increased relevant to the outcome chosen.Farmers includes agroforestry (or farm forestry)4.2 Protecting the resource base

Five-year outcomes

By 2018, Caring for our Country will have:

Priority outcome: Increased the number and area of farming and fishing sector entities that have trialled innovative

practices for improved natural resource management.

Number of farming entities that have trialled innovative practices: (including agroforestry)

Area of farming innovative practices trialled (in hectares): (including agroforestry)

Number of fishing entities that have trialled innovative practices:

Number of aquaculture entities that have trialled innovative practices:

Area of fishing or aquaculture innovative practices trialled (in hectares):

Additional Outcomes: Increased the percentage and area of farming entities using sustainable land management

practices to increase productivity and improve the quality of ecosystem services to the broader community from their land, while building their resilience to climate change. Farming includes agroforestry and aquaculture.

Number of farming entities (including agroforestry):

Area of adoption of sustainable land management practices (hectares): (including agroforestry)

Increased the percentage of fishing and aquaculture entities that have adopted sustainable and low environmental impact management practices to increase productivity.

Number of fishing entities:

Number of aquaculture entities:


4.3 Improving planning and capacity for resource and environmental management

Five-year outcomes

Priority Outcomes: Increase(d) the percentage of farming and fishing entities and land managers with the knowledge

and skills to manage our natural resources and deliver ecosystem services.

Number of farming entities that have improved their knowledge and skills: (including agroforestry)

Number of fishing entities that have improved their knowledge and skills:

Number of aquaculture entities that have improved their knowledge and skills:

Number of land managers that have improved their knowledge and skills:

Increase(d) the use of institutional, sectoral, market and supply chain-based initiatives to promote adoption of sustainable farm practices, including the consistent use of indicators of sustainability across industry sectors.

Number of institutional, sectoral, market and supply chain based initiatives used:

Additional Outcomes: Increase(d) the capacity and confidence of regional community leaders, including women, young

people, Indigenous Australians and people from culturally diverse communities involved in agriculture or fisheries production and the protection of natural resources.

Number of regional community leaders involved in agriculture production and protection of natural resources:

Number of regional community leaders involved in fisheries production and the protection of natural resources:

Increased engagement and participation by regional communities and groups, including Landcare, professional farming system groups, industry, other community groups or individuals in natural resource management activities.

Number of engagement and participation by regional communities and groups, in natural resource management activities:

Number of individuals engaged in specific NRM activities:

4.4 Better understanding our natural resources and resource management challenges

Five-year outcomes

No Priority Outcome

Additional Outcome: Increase community awareness and understanding of the status of Australia’s natural resources

(land, forests and fisheries).

Number of community members that have an increase in their awareness and understanding:


4.5 Natural Resource Management Requirements:* What natural resource management issue/s is your project planning to address? What is the magnitude of the issue(s)? How have the particular areas to be addressed being identified? What evidence do you have to support these claims?

(maximum 1500 characters, approximately 200 words)

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4.6 Project Innovation:*Does your project innovation involve:

completely new practice or technology incremental change, such as adapting an existing practice or technology applying practices or technology in a novel way or combination applying innovative practices or technology in a new region or production situation

Eligible innovations must be underpinned by scientific research and evidence, and have demonstrated ‘proof of concept’ and be considered suitable for adoption.

4.7 Types of innovation:*What does the innovation practice or technology relate to:

Innovative practices or systems, and/or Capacity to innovate, and/or Institutional and market based approaches.

What is the innovation and how is it proposed to address the natural resource management issue you identified above?(maximum 1500 characters, approximately 200 words)

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Examples of the types of innovation are outlined in the How to Apply guide

4.8 Supporting evidence:*Outline the scientific evidence and proof of concept that underpins the innovation.(Eligible innovations must be underpinned by scientific research and evidence and have demonstrated ‘proof of concept’).(maximum 1500 characters, approximately 200 words)

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What is the current adoption rate of this innovation? What evidence supports this: qualitative or quantitative?(maximum 750 characters, approximately 100 words)

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What is the expected adoption rate of this innovation at the completion of the project? How has this been estimated? What is the expected adoption rate into the future (5-10 years)?(maximum 750 characters, approximately 100 words)

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Why is the innovation considered suitable for adoption by farmers, fishers, land managers and / or groups involved in natural resource management?(Eligible innovations must be considered suitable for adoption).(maximum 750 characters, approximately 100 words)

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Section 5: Project Activities

5.1 Project activities:*Describe the main activities that are part of your project to deliver the outcomes.(maximum 1500 characters, approximately 200 words)

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5.2 Project manager or facilitator services:*What activities will they undertake? What amount of funding will be required to cover their costs?(maximum 750 characters, approximately 100 words)

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5.3 Explain why you have chosen these activities and how they will contribute to improvements towards each selected outcome.(maximum 750 characters, approximately 100 words)

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5.4 What scientific, case studies or other evidence supports the technical feasibility or appropriateness of the activities selected for your proposal?(maximum 750 characters, approximately 100 words)

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5.5 Communication strategy:*Provide details of a communication strategy. What activities will this include? How much funding will be required?(maximum 750 characters, approximately 50 words)

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5.6 Implementation Plan for maintenance of benefit:*Describe your plan for implementation and building community capacity to maintain the project outcomes into the future. How do you propose that any ongoing costs required maintaining the benefits from this project would be supported?(maximum 2000 characters, approximately 285 words)

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5.7 Monitoring, Evaluation, Reporting and Improvement activities (MERI):*

How will you monitor and evaluate the project outcomes?(maximum 750 characters, approximately 100 words)

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Do you consider that your project will require more than 10 per cent of the funding requested for monitoring and evaluation? If so, explain why this is required and what it will achieve..(maximum 750 characters, approximately 100 words)

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5.8 Partnerships:*Please add any organisation(s) that are partners in delivering this proposal to the table below. Only include partners that add value and more effectively deliver the outcomes sought.

Name of partnering organisation

Contact person Phone number

Contact phone number Role in Project

5.9 Indigenous engagement:*Will the project raise Indigenous community awareness and enhance skills for Indigenous groups? What activities will they undertake?(maximum 750 characters, approximately 100 words)

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Number of groups

Number of participants

5.10 Culturally and linguistically diverse communities:*Will the project support and engage culturally and linguistically diverse communities? What activities will they undertake? (maximum 750 characters, approximately 100 words)

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Number of groups

Number of participants

5.11 Related projects or proposals:*Identify any other proposals or projects that are linked to this one. Describe the linkages and synergies with this one.(maximum 1500 characters, approximately 200 words)

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Section 6: Project Budget6.1 Provide total funding sought for your project (GST excl): * $

6.2 Provide details on the activities you intend to undertake. *(maximum 750 characters, approximately 100 words)Insert text here

Note: As a guide: The costs for project administration may not exceed 10% of the project budget. Capital works may be eligible, and will be assessed in conjunction with your response to

previous questions relating to your project. Administration costs excludes expenses not directly related to delivering the project, such as

office receptionist, and utilities (water, gas, electricity) and the costs of developing this application.

Projects may range from $250 000 and not exceed $1.5 million (GST exclusive).

6.3 Provide budget details to the table below.*

Activities Australian Government $

Cash / co-contribution $

In-kind contribution $ Total Amount $

Project management Administration Up to 10% of

project funding

*MERIJustification required if more than 10% of project funding,

Total $

6.4 Summary of Budget (cash) across each financial year

Year Australian Government $ Other contributions $ Total Amount $2013–14 2014–15

Total $

6.5 Cash or In-Kind Funding

Include any other cash funding contributions (excluding in kind contributions from recipients) for all parties engaged in the project e.g. state governments, volunteer organisations. Only include other cash funding if it is critical to the success of the project. Do not include other cash funding that is not directly related to the project e.g. for site amenity or beautification.


Sources of cash funding: *

Please add other cash funding which is necessary for the completion of your project to the table below.

Cash Organisation

Contact person details

[Title, First name, Last

name]

Contact phone

numberSecurity of

fundsAmount

$

TOTAL $

6.6 Is the success of the program dependent on funding from other sources?If yes, please explain how the success of the program is dependent on funding from other sources. *(maximum 1400 characters, approximately 200 words)

[Insert text here]

6.7 In-kind contribution: *

Please add in-kind contributions which are necessary for the completion of your project to the table below.

In-Kind contributions Organisation

Contact person details

[Title, First name, Last

name]

Contact phone

numberSecurity of

fundsAmount

$

TOTAL $

Section 7: Value for money

7.1 Please describe the private and public benefit that will be derived from this project.*(maximum 1500 characters, approximately 200 words)

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7.2 Please justify the budget and cash and/or in kind contributions against the level of public and private benefit outcomes.*(maximum 1500 characters, approximately 200 words)

Inset text hereINNOVATION GRANTS APPLICATION FORM

of 16

7.3 Please provide a justification for your local market rates calculation of the cash and/or in kind contribution you will seek.*(maximum 1500 characters, approximately 200 words)

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Section 8: Organisational Capacity

8.1 Capacity to implement this project:*Describe the expertise and resources available to your organisation that will enable you to complete the project within the budget and timeframe outlined.(maximum 1500 characters, approximately 200 words)

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8.2 Organisation of project:*How will you develop and manage activities under your proposal? How will you ensure that your partners and subcontractors deliver their contributions in a timely and efficient way?(maximum 750 characters, approximately 100 words)

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8.3 Describe your organisation’s internal administrative and governance arrangement for assessing, managing and delivering activities through your program.*(maximum 750 characters, approximately 100 words)

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Section 9: Risk ManagementRisks are an event that may impede the timely delivery of your project, or negatively impact on the quality of its outcomes. The risks associated with your project (what can go wrong) must be identified and propose treatments, this is to reduce or avoid, these risks. Ensure the risks and proposed treatments you identify are realistic for the project you are proposing.

You will need to briefly describe the risks including impact, source and category, and then identify their impact and the likelihood of them occurring. Similarly, you will need to describe your proposed treatment and treatment rating for each identified risk.

Please refer to the Risk Matrix below for the relevant consequence, likelihood and overall risk level.

Likelihood

ConsequenceInsignificant Minor Moderate Major Catastrophic

Almost certain Low Medium High Very High ExtremeLikely Low Medium High Very High Very High

Possible Low Low Medium High HighUnlikely Minimal Minimal Low Medium High

Very unlikely Minimal Minimal Low Low Medium


Using the pro forma table below, please define the major risks associated with this proposal and what management actions you will put in place to minimise or avoid these risks.*

Risk ID

Risk description(What can happen?)

Source of risk(How can this

happen?)

Impact of risk(What is the impact if

this eventuates?)

Uncontrolled risk level

(High/Medium/Low)

Acceptable/ Unacceptable Potential mitigation strategies Treated risk level

(High/Medium/Low)Acceptable/

UnacceptableResponsible

person

1

2

3

4

5

6

7

8

9

10

11

12

13

14


Confidentiality and privacyApplicants must identify any information contained within their application which they consider should be treated as confidential and provide reasons for the request.

The Department will only consider a request for confidentiality where: the information to be protected is identified in specific rather than global terms; the information is., by its nature, confidential ; or disclosure would cause detriment to the parties concerned

The department is subject to the legislative and administrative accountability and transparency requirements of the Australian Government, including disclosures to the Parliament and its Committees. Notwithstanding any obligations of confidentiality, the department may disclose, or allow at any time the disclosure of, any information contained in or relating to any application: to its advisers, employees or internal management for purposes related to the application and

assessment processes, including to evaluate or otherwise assess applications and manage any resultant funding agreement

to the responsible Minister in response to a request by a House or a Committee of the Parliament of the Commonwealth of

Australia within the Department, or with another agency, where this serves the Australian Governments

legitimate interests where the information is authorised or required by law to be disclosed, noting that information

submitted to the Australian Government is subject to the Freedom of Information Act 1982 (Cth) and its requirements

where the information is in the public domain otherwise than due to a breach of any relevant confidentiality obligation by the Australian Government.

In submitting an application, applicants consent to the department using the information contained in their application for the above mentioned purposes for administering Innovation Grants and any other incidental or related purpose. The department will store and use the personal information collected by it in compliance with its obligations under the Privacy Act 1988 (Cth).

Applicants should be aware that if they are successful. Commonwealth policy requires the department to publish information on its web site about the applicant, including but not limited to: the name of the person or legal entity receiving t he funding the title and purpose of the project the amount of funding received the terms of the funding the funding location

By submitting an application for funding under the Caring for our Country: Innovation Grants, the applicant consents to publication of the above information by the department if they are awarded funding.

Applicants may access or correct personal information by either emailing the department at [email protected] or sending a letter to the department's postal address.

Does this application contain information for which you wish to claim confidentiality? *

Yes No

If you have answered yes, please identify the relevant information and justify the claimed confidentiality? *(maximum 2000 characters, approximately 285 words)

Inset text here


DeclarationYou must declare that you agree (by ticking the box provided below) with all of the following statements. You must provide your name, your position within the organisation and the date before submitting this application. I declare that am legally authorised to submit this application. I declare that all information provided in this application is true and correct and that no information is

false or misleading. I have the agreement of all parties identified in this proposal to include their details within this

application. I have, or am able to obtain, the written consent of any organisation, including Traditional Owners,

that I partner with or represent on this application. I understand that information in this application may be disclosed to various parties as described in

the Innovation Grant 2013-14 Applicant Guidelines. I understand and agree that the Australian Government may wish to negotiate to fund components

of this application to ensure the most appropriate package for investment and delivery of program outcomes.

I understand that any payments made by the Australian Government in relation to this project are subject to the A New Tax System (Goods and Services)Act 1999 (Cth).

I declare that no funding has been received, in part or in full, for activities that form this application, except as Identified In this application.

I declare that I am not seeking funding for the activities outlined in this application from another source that will duplicate funds requested through this application.

I declare that this application does not include activities that have already been completed. I consent to the application being referred to third parties for assessment purposes. I declare that the project will not introduce species that are known to be agricultural or

environmental pests or invasive species. I confirm that as at the application closing date, the Applicant and any project partners will not have

any overdue reports or acquittals under any contractual or statutory arrangements for funding with the Commonwealth of Australia.

I declare that I have obtained appropriate advice to ensure that I understand and am prepared to sign (if successful) the standard Funding Deed (available at www.nrm.gov.au).

I declare that if awarded funding under this grant program, that I will obtain all necessary Commonwealth, state and local planning permits/ approvals required to undertake this project.

I agree

Name Date Position in Organisation

Submitting your ApplicationOnce completed, email your completed application form to [email protected] you submit your application, you will receive an email confirming your submission. You will not be able to edit your application once it has been submitted.


mailto:[email protected]

http://www.nrm.gov.au/

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