2016 Sustainability Grant Application Form Stream One - content opens in a new window

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CSU 2016 Sustainability Grant
Application Form (Stream One)
You are encouraged to discuss your proposal with Edward Maher (Manager CSU Green).
1. PROJECT TITLE
2. PROJECT CONTACT
Please provide details for the main contact for the project.
Title
Name
Position
Contact details
Signature
Supervisor’s signature
Note: If the application is successful, this person will be responsible for managing and implementing the project
3. PROJECT PARTICIPANT/S
Please add/delete rows if there are more/fewer participants than provided for in the spaces below. The signatures may be scanned or faxed separately to
CSU Green if necessary.
Title
Name
Position
Contact details
Signature
Supervisor’s signature
4. DIVISION OF FACILITIES MANAGEMENT (DFM) APPROVAL
If your project will require DFM assistance or labour with installation or maintenance, or will impact on existing facilities or traffic, you will need to obtain
approval from a DFM Director. If you are unsure, please contact Ed Maher to discuss.
DFM Director:
Title Name
Position
Contact details
Signature
5. PROJECT SUMMARY
Maximum 150 words
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6. TOTAL FUNDING/RESOURCES REQUESTED
Please also indicate why existing Faculty, School or Divisional funding cannot fund this project
7. DETAILS OF THE IMPLEMENTATION OF THE PROJECT
Maximum 750 words
8. PROJECT TIMELINE
Stage
Milestone
Please specify which aspects of the project will be completed at each stage of the project
Completion date/month
9. PROJECT BUDGET
Please include labour and on-costs if appropriate
BUDGET ITEM
JUSTIFICATION/RATIONALE
COST ($)
TOTAL
10. PUBLICITY STRATEGIES (Project launch, What’s New & News, CSU & CSU Green social media, student online news,
podcasts, CSU Media release, local news, morning teas, CSU Green website)
Please outline how you will publicise your project, to build understanding and commitment to sustainability among others.
Maximum 300 words
11. OUTCOMES OF THE PROJECT AND THEIR RELATION TO UNIVERSITY STRATEGY OR THE LEARNING IN
FUTURE ENVIRONMENTS (LiFE) PROCESS
Maximum 450 words
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12. REFEREE/S
Your proposal may benefit from having a referee who can attest to the value of the project, and the capacity of the applicant/s to undertake
it. Please provide a referee for your project where possible,
Referee(s):
Title
Name
Position
Contact details
Please return your completed application by the closing time of 5 pm Friday 1 July 2016 via email (in
.doc or .docx format) to:
Ed Maher
Manager CSU Green
Email: csugreen@csu.edu.au
Phone: 6933 4080
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