Grass Roots Grant Scheme Application Form You are encouraged to discuss your proposal with Edward Maher (CSU Green). YEAR OF PROJECT: 1. PROJECT TITLE 2. PROJECT CONTACT Please provide details for the main contact for the project. Title Name Position Contact details Faculty/School/Division Signature Note: If the application is successful, this person will be responsible for managing and implementing the project 3. DESCRIPTION OF INITIATIVE What is the purpose? What are the objectives? What are the targeted outcomes (specific, measurable, achievable)? How will the success of the project be evaluated? (maximum 300 words) CSU Grass Roots Grant information Page 1 4. DETAILS OF THE IMPLEMENTATION OF THE PROJECT How are you going to implement the project? How will you measure the success of the project? Who will be responsible for keeping the project going in the long term? (maximum 300 words) 5. PROJECT TIMELINE AND EXPECTED COMPLETION DATE Completion date: Stage Milestone Please specify which aspects of the project will be completed at each stage of the project Completion date/month 6. PROJECT BUDGET AND FUNDING REQUESTED Funding requested: $ BUDGET ITEM JUSTIFICATION/RATIONALE COST ($) TOTAL 7. COMMUNICATION AND ENGAGEMENT 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 200 words). 8. ACCOUNT CODE Please provide an account code for transferral of grant funds. CSU Grass Roots Grant information Page 2 9. APPLICATION ENDORSEMENT Please seek endorsement for your project and the time to implement your project from your supervisor. Referee: Title Name Position Contact details Please return your completed application form via email (in .doc or .docx format) to: Edward Maher - CSU Green Email: csugreen@csu.edu.au Phone: 02 6933 4080 CSU Grass Roots Grant information Page 3