PARTNERSHIPS FOR ACCESS GRANT PROGRAM
APPLICATON FORM
STREAM 2: PARTNERSHIP IMPLEMENTATION
EXPLANATORY NOTES
This form should be completed by a consortia of Learn Local Organisations (LLO) that want to
apply for a grant of up to $200,000 to assist in implementing a partnership arrangement where
agreement has already been reached between the partners to proceed.
LLOs that want to undertake an initial investigation to see whether a partnership might be right for
them should apply under Stream 1: Partnership Development, and complete the application form
for this stream.
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This form is to be completed electronically.
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In responding to questions that require a free text response, please limit this to 200 words
per question.
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DEECD Regional staff can assist you in developing your proposal and completing the
application form.
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The Partnerships for Access Grant Program Guidelines provides more detailed information
about this program and the type of partnership projects that may be funded.
Applications for grants under both streams of the Partnerships for Access Program close at
5pm on Friday November 28, 2014. Details on how to submit are at the end of this form.
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Partnerships for Access Grant Program Application Form: Partnership Development (Stream 2)
PART A: APPLICANT INFORMATION
Name of Organisation applying for funding (Project Lead):
DEECD Region:
TOID Number:
Postal Address of organisation:
Contact person for application:
Phone:
Email:
PART A: PARTNER DETAILS
Key Partner 1:
Name of organisation:
Type of organisation:
Name of key contact person:
Key Partner 2:
Name of organisation:
Type of organisation:
Name of key contact person:
Key Partner 3:
Name of organisation:
Type of organisation:
Name of key contact person:
Add details of any additional Learn Local organisation / other partners as a separate word
document and include as an attachment to your application.
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Partnerships for Access Grant Program Application Form: Partnership Development (Stream 2)
PART B: PROJECT DESCRIPTION
1.
What type of partnership do you want to implement through this project?
The following are examples only and are described on page two of the Partnerships for Access
Program Guidelines. Please select one of these categories and then describe your proposed
partnership in more detail below.
Shared training delivery
Formal strategic alliance
Shared facilities
Purchasing consortium
Shared corporate services
Merger
Federation of independent organisations
Co-location
Joint venture to undertake a project
Other (please specify):
Description of Proposed Partnership:
2.
Please outline the benefits and improvements you expect your partnership to deliver
and how these will be achieved:
2.a Benefits for your organisation:
2.b Benefits for partner organisations:
2.c Benefits for learners:
2.d Other expected benefits / outcomes?
3.
What evidence can you provide that demonstrates the need for this partnership?
This may include, for example, strategic or business plans (including consideration of current and
future service provision), local learner needs analysis, independent professional advice such as a
business case, Committee of Management endorsement) Note: Please submit any supporting
documents along with this Application Form.
3.a General description of evidence
3.b List of attachments
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Partnerships for Access Grant Program Application Form: Partnership Development (Stream 2)
4.
Outline the activities you have already undertaken in establishing the partnership,
and indicate what stage it is at in the process.
Include examples that demonstrate your capacity to work effectively in partnership arrangements
5.
Provide a summary of the key activities you will undertake for this project
Note: You will also need to complete the Project Plan template which details project stages,
activities, responsibilities and timelines.
6.
How do you intend to consult with your local community in this partnership project?
7.
Project Summary
Title of the Project
Total Funding Requested
$ …………….
Length of Project (number
of months)
PART C: PROJECT OUTCOMES
8.
Please list below the outcomes you expect to achieve by the end of the project.
Include advice on how you intend to demonstrate achievement of these outcomes to
the ACFE Board.
Note: Successful applicants will be required to finalise agreed project performance measures with
DEECD at the time of contracting.
9.
Outline the strategies you will use to ensure the partnership you implement is
sustainable beyond the end of the grant funding period.
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Partnerships for Access Grant Program Application Form: Partnership Development (Stream 2)
ADDITIONAL DOCUMENTS TO BE SUBMITTED WITH YOUR APPLICATION
Please ensure that you submit the following information:
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Project Plan Template
Project Budget Template
Risk Management Plan Template
Complete, scan and submit the Applicant Declaration
A signed letter of support from consortium partners which includes evidence of
endorsement for the partnership by each Committee of Management
Any other supporting documents that will assist in assessing your application eg business
case or business plan.
Applications and supporting documentation should be submitted as follows:
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Submit your application form and documents to jamieson.sally.s@edumail.vic.gov.au
This form can be saved and attached as a PDF document.
You will receive a confirmation email once your application and supporting documents have
been received.
Applications for grants under both streams of the Partnerships for Access Program close at
5pm on Friday November 28, 2014.
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Partnerships for Access Grant Program Application Form: Partnership Development (Stream 2)