Community Learning
Inclusive learning for Queenslanders
Application Form 2013-14
Before completing the application form please read the Community Learning Guidelines for Funding 2013-14. If you
have any questions regarding this form or the application process, please contact communitylearning@dete.qld.gov.au
Section 1 Organisation Details
1.1
Legal name of organisation
1.2
Trading name of organisation
1.3
Authorised contact details:
Title
Mr
Mrs
Ms
Miss
Doctor
Other
(Please specify)
First Name
Last Name
Position
Phone
Facsimile
Email
1.4
Postal Address:
Town/Suburb
Postcode
1.5
Street Address:
Town/Suburb
Postcode
1.6
Australian Business Number (ABN)
1.7
Incorporation Number
Section 2 Project Overview
2.1
What DETE region is this application for?
http://education.qld.gov.au/schools/maps/
South East
Darling Downs South West
Metropolitan
North Queensland
North Coast
Far North Queensland
Central Queensland
2.2
Locality/suburb/town(s) for proposed project
2.3
Project name
2.4
Project Coordinator details
(include phone and email)
2.5
What is the proposed commencement and
completion dates for the project?
Commencement Date
Completion Date
*Funding periods of up to 12 months can be
considered.
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Application for Funding 2013-14 Version 2 October 2013
2.6
Provide a summary description of the
proposed project.
Word limit 500 words
What are the key objectives of the project?
2.7
Which identified learner groups will the project
focus on?
Disadvantaged learners
Please note that individuals on income support
and receiving employment assistance from
Australian Government service providers are
ineligible for Community Learning.
People with a disability
Indigenous people
Culturally and linguistically diverse people
Young people aged 15-24 years
Other (Please specify)
2.8
What outputs and outcomes do you expect to
achieve?
Project Outputs
Target %
Learners Assisted
Learners assisted will be the total number of
participants for the project
Target Number
N/A
Certificate III
Certificate I and II
Statement of Attainment
Project Outcomes
Target %
Target Number
Employment
Further Education and Training
2.9
If there are to be rolling starts or intakes,
indicate when these will be and how many
participants in each intake.
2.10
Indicate the industry area your project and the training delivery best aligns to e.g. if delivering nationally recognised training in aged
care select Community Services or for horticulture select Primary Industry
Arts & Entertainment
Automotive
Business
Communications
Community Services
Construction
Engineering
Food Processing
Intake
No Learners
Furnishing
General Education & Training
Government
Health
Hospitality
Laboratory Operations
Mining
Primary Industry
Start Date/s
Process Manufacturing
Retail
Sports & Recreation
Textile, Clothing & Footwear
Tourism
Transport & Distribution
Utilities
Section 3 Training
3.1
List the range of qualifications/skills sets, indicative places, delivery location, preferred RTO and price.
*Qualification codes must be provided
Qualification Code and Name OR
Skills Set Description
Delivery Location
(Town/suburb)
3
Preferred RTO
(with scope of registration
at time of application)
Places
Full cost per
learner ($)
GST exclusive
Total Price ($)
GST exclusive
(No places x full
cost per learner)
Application for Funding 2013-14 Version 2 October 2013
3.2
What is the total training cost?
(Total of 3.1 above)
Total Training Cost
Training cost per learner
$
3.3
Estimate the total number of Annual Hours of
Curriculum (AHCs) of nationally recognised
training to be delivered
3.4
What are the planned delivery strategies
(Outline any details relating to training plan,
mode of delivery, learning support, partnering
etc.)
$
AHCs
Section 4 Registered Training Organisation details (Complete section for each preferred RTO)
RTO 1
4.1
Legal Name of RTO
4.2
Trading name of RTO
RTO 2
(if different from above)
4.3
National Registration Number
4.4
Authorised contact details:
Title
Mr
Mrs
Ms
Miss
Dr
Mr
Mrs
Ms
Miss
Dr
First name
Last Name
Position
4.5
RTO’s contact details:
Phone
Facsimile
Email
4.6
What was the process to select the Preferred
RTO/s for this project?
(Long-standing partnership arrangement,
supports procurement objectives – value for
money, probity issues and open competition)
Section 5 Learner Support
5.1
Name of organisation providing learner
support measures
5.2
Detail the learner support and other assistance
measures to be provided to all participants
(Include details of any foundation skills
including LLN training and workplace
preparation skills)
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Application for Funding 2013-14 Version 2 October 2013
Section 6 Project Budget
6.1
Please complete the project budget at Attachment A and provide a summary below.
Budget Summary
(GST exclusive)
TOTAL GRANT SOUGHT
$
TOTAL OTHER CONTRIBUTIONS
$
TOTAL COST OF PROJECT
$
6.2
Attach letters from organisations confirming the estimated dollar amount of any cash/in-kind contributions. You are asked to provide
details on this information in the project budget notes at Attachment A.
6.3
Have you applied for, or received, funding from
other state or commonwealth funding
programs for this project or components of
this project?
Yes
No
If yes, please provide details of sources and funding received
Section 7 Assessment Questions
The following questions relate directly to the assessment criteria detailed in the program funding guidelines.
Each criteria response has a 350 word limit
Capacity to Manage
Describe your organisation’s experience in managing government grant funding to deliver training or other services in a
community setting for disadvantaged learners. How will the learners be recruited and selected for the project and how will you
ensure that eligibility criteria are met by program participants? What is your working relationship with the nominated RTO? The
assessment panel will look for RTOs that can demonstrate a commitment to access and equity principles.
Servicing Community and Industry needs
How will the training address local industry skills and labour needs? Outline how the project is responsive to local community
and regional needs and conditions. The assessment panel will look for responses that demonstrate local community support;
outlines how the project will link with other local initiatives or other services within the community and identifies links to local
industry stakeholders/employers.
Strategies to Assist Learners
How will additional training needs be identified and supported to maximise progression towards the completion of Certificate III
level qualifications? The assessment panel will look for responses that detail training delivery methods and assessment measures
that suit the needs and requirements of disadvantaged learners. A Training and Support Plan is required for each participant.
Attach a sample/template of the plan.
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Application for Funding 2013-14 Version 2 October 2013
Outcomes
How will the proposed qualifications help participants gain employment? Describe the likely training and employment
outcomes? Provide details of past performance and outcomes achieved. The assessment panel will look for responses that
demonstrate a capacity to deliver services that support disadvantaged learners, the objectives of the program and provide
quality outcomes.
Declaration
I state that the information in this application for funding and attachments is to the best of my knowledge true and correct. I
agree that the information provided in this application will be used by the Department of Education, Training and Employment
(DETE), and that DETE may request and obtain additional information from appropriate agencies as required for assessment
purposes. I understand that this is an application only and may not necessarily result in funding approval.
I have read and understood the Community Learning Guidelines for Funding 2013-14. I have also discussed this proposal with
the nominated RTO and they have agreed to the nomination and have read and understood the Community Learning Services
Agreement. By submitting this form I certify that I am an authorised officer for this organisation.
Yes, I agree
Date
Name
/
/ 20
Position
Application Checklist
Applicant Organisation’s Income and Expenditure statements for past two years
Resumes or background information or position descriptions for staff involved in delivery of project
All qualification, unit and pricing details listed are correct
Training and Support Plan template attached
Evidence attached verifying in-kind/business financial contributions
Letters of support attached – community involvement and industry support
Application Submission
Please email the completed application form and attachments to communitylearning@dete.qld.gov.au
between 1 October 2013 and 5pm AEST on 31 October 2013.
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Attachment A
Community Learning Project Budget
Expenditure Item
A.
Budget (GST excl.)
Accredited Training Costs (Total Training Cost from 3.2)
$
Learner Support Expenses
Staff Wages
$
Administration Costs
$
Materials and Equipment
$
Other Costs
$
B.
Learner Support Total Expenses
$
C.
Management Fee (Maximum 5% contribution)
$
D.
TOTAL GRANT SOUGHT (A + B + C)
$
Average cost per learner (Total Grant/No. Learners from 2.8)
$
Project Budget Notes
Learner Support – Staff Wages
Outline Industrial Awards etc for project coordinator and other staff involved in project delivery (such as foundation
skills/workplace preparation) and administrative support. Costs associated with teachers/tutors delivering nationally
recognised training are to be included in accredited training costs.
Learner Support – Administration
Rent and accommodation, utilities, office supplies (consumables), telecommunications, marketing/advertising, travel (project
specific travel, mileage and parking costs), financial audit fees, insurance payments
Learner Support – Materials and Equipment
Resource materials (e.g. folders, paper, pens for non-accredited training, leased equipment
Learner Support – Other
Other Contributions
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Application for Funding 2013-14 Version 2 October 2013