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Community Engagement Grants Scheme 2016
Application Form
Please refer to the Guidelines for Community Engagement Grants when completing this application. The applications must be signed by the
appropriate staff before being sent electronically to Natalie.Edwards@utas.edu.au
If you have any questions, please contact Natalie.Edwards@utas.edu.au
Title of Project
Total Amount of Funding Sought
$
Applicant Details:
Lead Applicant:
Position:
Phone:
Faculty/Institute/Division:
Email:
Applicant Details: Please insert a new section for each member of the team
Applicant:
Position:
Phone:
Faculty/Institute/Division:
Email:
Project Details
1.
Proposal (Max 2 pages)
The proposal page must include the following sections:
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
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2.
3.
Project Title
Project description
Project participants (key internal and external participants)
Selection criteria must be addressed
Budget Proposal and Timeframe (Max 1 page)

A budget and budget justification must be submitted on the template provided

Actual and/or potential additional sources of funding for the project

Proposed timeline for the project
Community Support (Max 3 letters)

Applications must contain letters of support from community partner/s. Please note there is a maximum of
three letters irrespective of the number of partners.

Where the contribution of a community partner is vital to the success of the project, applicants should ensure
that a statement is provided that attests to the commitment of the community partner to provide that
contribution.
Authorisation:
I confirm that the details in this application are correct and complete, and that the applicant/s will fulfil the obligations of
recipients described in the Guidelines. I certify that all persons listed have agreed to take part in the proposed activities and the team will
conform to the agreed timeline and budget.
Lead Applicant :
Date:
Dean of Faculty
Director of
Institute/Division:
Date:
Submission: Please submit your proposal electronically to natalie.edwards@utas.edu.au by close of business Monday 19
October 2015.
FOR OFFICE USE ONLY:
Assessment:
Criterion:
Score (A-E):
1. Proposal
A: Outstanding – Of the highest quality
2. Capacity
B: Excellent – High quality, strongly competitive proposal
3. Deliverables
C: Very good – A sound and compelling Proposal
4. Alignment
Overall
D: Good – A sound Proposal, but lacks a compelling element
E: Uncompetitive