Local Landcare Coordinator Initiative
Host Organisation Application Form
Objective
The NSW Government has provided $15 million over four years to renew the government-community
relationship and unlock the full potential of the thousands of volunteers in the Landcare network. The
Local Landcare Coordinator Initiative will deliver three inter related components: The Landcare Future
Fund, the Landcare Community of Practice and a network of Local Landcare Coordinators.
The network of Local Landcare Coordinators will work with local Landcare groups and networks to build
capacity and connections within communities. It is supported by a Community of Practice and is central
to providing information that will build the business case for the Landcare Future Fund.
The primary purpose of the initiative is to enable the effective participation of voluntary, communitybased groups and networks, landholders and the wider community in natural resource management
activities that manage and restore the natural environment, improve the sustainability of agricultural
production, and build the resilience of communities.
This application
This application is for one 0.5 equivalent full-time (EFT) Local Landcare Coordinator to be engaged for a
period of 3.5 years from 1 January 2016 to 30 June 2019. An alternative EFT arrangement is possible if
this application is part of a bid that covers more than one region or is a collaboratively-developed
partnership bid within a region.
The process
Local Land Services and Landcare NSW are calling for applications from eligible local organisations to
host up to 60 part-time Local Landcare Coordinators throughout NSW.
Positions will be allocated under an open process whereby eligible community-based groups or networks
in natural resource management and/or sustainable agriculture can apply to host a position.
A baseline allocation of four half time (0.5 EFT) positions will be available within each of the 11 Local
Land Services region. The remaining positions will be allocated between regions, to provide equitable
levels of support across NSW. Whilst the default is for each position to be 0.5 EFT, other arrangements
that show collaboration within a regional Landcare community, or supportive partnerships, may be
considered.
Applications will be assessed by a panel consisting of the Landcare Support program manager, the State
Landcare Coordinator and representatives from regional Local Land Services and Landcare NSW. Final
approval of recommendations rests with the Joint Management Committee upon recommendation from
the Local Land Services Landcare Program Manager.
The Joint Management Committee reserves the right to seek further information regarding applications
and to bring parties of competitive applications together to improve coverage and outcomes where
possible.
Applications to host a Local Landcare Coordinator will be accepted by email to
landcare.admin@lls.nsw.gov.au until 5pm on Wednesday 14 October 2015
September 2015
Local Landcare Coordinator Host Organisation Application Form
Key terms
For the purpose of this application, the following terms apply:
Host organisation
This is the organisation hosting a Local Landcare Coordinator.
This may be any not-for-profit legal entity that works across the fields of natural resource management,
sustainable agriculture and land management.
The host organisation will either enter directly into a contract with Local Land Services or, if part of a
partnership bid, may form part of a single contract entered into with Local Land Services by the lead
partner of that bid.
Lead partner in a partnership bid
This will be the contact point for a joint bid that is a partnership arrangement. The lead partner may act
as the single contractor with Local Land Services for all the host organisations in the partnership bid, or
may request that each host organisation be responsible for the contracting arrangements with Local
Land Services for their Local Landcare Coordinator position.
Employment service provider
A third party who provides employment administration services to the contracted organisation. This will
be an arrangement between the contracted organisation and the service provider, not a direct
arrangement between the service provider and Local Land Services.
Note: The costs of an employment service provider or the administration and reporting costs of a lead
partner organisation need to be met from within the contract funds, or by the host organisation.
No extra funds will be allocated to meet these costs.
Completing and lodging an application
If you are the only party to your bid, complete Section A only.
If you are involved in a partnership bid, each partner organisation that is hosting a Local Landcare
Coordinator must complete Section A
The lead organisation for the partnership bid is responsible for submitting the completed application,
which will include:
 Section A – a copy completed by each of the hosting organisations
 Section B – completed by the lead organisation.
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Local Landcare Coordinator Host Organisation Application Form
Section A - Applicant / host organisation
This section should be completed by each of the organisation that will host a Local Landcare Coordinator.
If your application is part of a partnership bid, please ensure each partner completes this application and the lead
organisation also completes Section B.
Organisation name
What year was your organisation formed?
Is your organisation a not-for-profit legal entity?
Yes
No If no, you are not eligible to apply
Is your organisation incorporated under the
Associations Incorporation Act of NSW (via NSW
Fair Trading)?
Yes
No
Is your organisation a not-for-profit limited by
guarantee under ASIC?
Yes
No
Is your organisation incorporated under another
arrangement – please detail
Inc or ACN number
Date of incorporation
ABN
Postal address
Email address
Office telephone
Mobile
Contact name
Contact phone
Mobile
Contact email
Partnership bids
Is your application part of a
partnership bid?
Yes
No
If NO - go directly to page 4
If YES - please complete the following and ensure the lead organisation completes Section B, then go to page 4
Name of partnership bid
Lead organisation
Lead partner contact
person
Contact phone
Mobile
Contact email
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Local Landcare Coordinator Host Organisation Application Form
Organisational purpose
Our organisations constitution contains the relevant clauses that make it a not-for-profit
organisation
Yes
No
The objects of our constitution are consistent with being an organisation that provides a
public benefit in the sphere of natural resource management, sustainable agriculture and
land management
Yes
No
If you answered no to either of these questions, you are not eligible to apply
Statutory reporting
Date of your last AGM
Is your organisation registered as a charity with the Australian Charities and
Not-for-Profits Commission (ACNC )
Yes
No
If YES: We will use the ACNC website to check on the following information concerning your organisation and your
compliance with reporting obligations. You do not need to supply us with any of the following as they are
part of the public record.
If NO: Please provide the following
Please attach a copy of your constitution
Please attach your financial statements, as due for the previous period
(30 June 2014 if operating on a financial year model or 31 December 2014 if operating on
a calendar year)
Did you submit your latest annual statement to either NSW Fair Trading or ASIC within the
required period?
(within six months of the end of your financial year and within one month of your AGM )
If your latest annual statement is not yet due for submission, did you submit the previous
year’s statement within the required period?
Attached
Yes
No
Attached
Yes
No
Yes
No
Yes
No
If your organisation is not up to date with its statutory reporting obligations, you are not eligible to apply
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Local Landcare Coordinator Host Organisation Application Form
Outcomes
In 200 words or less, please describe:
 why your organisation wants to host a Local Landcare Coordinator
 what your organisation hopes to achieve by doing so
 the strengths your organisation has to assist the successful delivery of the Local Landcare
Coordinator Initiative.
Governance
How often does your committee meet to manage the affairs of the organisation?
eg monthly, bimonthly, quarterly, six monthly, other
Have any of the committee/staff of your organisation participated in the following training in the past two
years ?
A Hothouse workshop run by Landcare NSW
Yes
No
The Landcare Essentials course run by NSW Department of Primary Industries
Yes
No
Regionally-organised training in governance and planning
Yes
No
Other (please provide details)
Yes
No
Please self assess your governance using the Landcare NSW Governance Health Check
http://www.landcarensw.org.au/resources.php?tid=7
Organisations should ensure they meet the applicable critical governance standards (highlighted in red in the
checklist) to be eligible to apply. Contact the Landcare NSW Member Services Officer if you need help with any of
these items
Our organisation meets the applicable minimum governance requirements, as applicable,
for our organisation as outlined in the Landcare NSW Governance checklist
(YOU DO NOT NEED TO SUBMIT THE CHECKLIST)
Yes
No
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Local Landcare Coordinator Host Organisation Application Form
Responsible persons
Please advise the names of your responsible persons (ie current committee members and public officer):
Position
Name
Email
Chairperson/President
Deputy Chair /President
Secretary
Treasurer
Public officer
Coverage
Is your organisation a group or network (ie an umbrella organisation for other smaller
groups within your area)
Yes
No
What is the total membership of the group/network?
How many people are on your mailing distribution list?
If a network, list the groups your organisation supports. If more than five groups, provide a separate list
containing the information below for each group
I have attached a separate list of the groups supported by our network
Yes
No
Group 1: name
Contact name
Contact email
Incorporated
Yes
No
Activity level
High
Medium
Low
Not active
Yes
No
Activity level
High
Medium
Low
Not active
Yes
No
Activity level
High
Medium
Low
Not active
Yes
No
Activity level
High
Medium
Low
Not active
Yes
No
Activity level
High
Medium
Low
Not active
Group 2: name
Contact name
Contact email
Incorporated
Group 3: name
Contact name
Contact email
Incorporated
Group 4: name
Contact name
Contact email
Incorporated
Group 5: name
Contact name
Contact email
Incorporated
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Local Landcare Coordinator Host Organisation Application Form
Region and local government area (LGA)
Which Local Land Services regions does your group or network operate in?
Delete those as required from the following list:

Central Tablelands

North West

Central West

Northern Tablelands

Greater Sydney

Riverina

Hunter

South East

Murray

Western

North Coast
List the LGA(s) covered by your group/network. If you don’t cover the majority of the LGA, list the towns
covered by your group’s area of operations (If more than four LGAs attach a list )
I have attached a separate list of the LGAs covered by our network.
Yes
No
LGA 1: Name
If not whole LGA which towns?
LGA 2: Name
If not whole LGA which towns?
LGA 3: Name
If not whole LGA which towns?
LGA 4: Name
If not whole LGA which towns?
Is your organisation prepared to assist /support nearby groups that may not be
covered by an existing network /or Local Landcare Coordinator under this initiative?
Yes
No
Describe how you might support or connect such groups (100 word limit)
Partnerships and connectivity
Does your group/network belong to a district/regional scale network?
Group
Network
Group/network name
How often does this group/network meet?
Monthly, bi-monthly, quarterly, six-monthly, annually
Does your organisation regularly attend and contribute to meetings of this
group/network?
Yes
No
Does your group/network take part in current regional community of
practice events/activities?
Yes
No
List two such events attended over the past three years
1.
2.
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Local Landcare Coordinator Host Organisation Application Form
Was your organisation represented at any of the past three state Landcare conferences?
2011 Parkes
Yes
No
2013 Newcastle
Yes
No
2015 Orange
Yes
No
List partnerships your organisation has in place and your involvement (eg project, working
group, financial support
Partner
Involvement
Partner
Involvement
Partner
Involvement
Partner
Involvement
Partner
Involvement
Partner
Involvement
How does your group interact with Local Land Services in your region?
Project applications and contracts
Yes
No
Regional Landcare Facilitator
Yes
No
Input onto development of priority area, project design
Yes
No
Technical staff at events and input to projects
Yes
No
Representative on local community advisory group
Yes
No
Local Land Services staff/board members attend our meetings
Yes
No
Other (please describe)
Community involvement and engagement
Does your organisation have a strategic plan, an action plan or other planning
tool that guides its activities?
Yes
No
Were your members involved in developing this plan?
Yes
No
Was the local community involved in developing this plan?
Yes
No
Describe the process used by your organisation to ensure the views and needs of your members and the
community are included in the development of the plan (100 word limit)
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Local Landcare Coordinator Host Organisation Application Form
How is the plan monitored and reviewed? (100 word limit)
Describe how you engage and involve the community in delivery of on-ground projects (100 word limit)
Does your group currently work with or support youth or school involvement in
Landcare?
Yes
No
Yes
No
Describe this involvement (100 word limit)
Does your group currently work with or support Aboriginal involvement in
Landcare?
Describe this involvement (100 word limit)
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Local Landcare Coordinator Host Organisation Application Form
Communication
How does your group communicate with its members and the broader community?
How often do you undertake any of the following activities?
Monthly, bimonthly, quarterly, half yearly , annually, adhoc
Newsletter
Yes
No
Regularity:
e-newsletter or bulletin
Yes
No
Regularity:
Working bees
Yes
No
Regularity:
Field days
Yes
No
Regularity:
Workshops
Yes
No
Regularity:
Forum/general meetings
Yes
No
Regularity:
Radio spot
Yes
No
Regularity:
Newspaper column
Yes
No
Regularity:
Other (please describe)
Does your organisation have a website?
Yes
No
If yes, do you have a page or link to your
website on the NSW Landcare Gateway
website
If yes, website address:
Yes
No
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Local Landcare Coordinator Host Organisation Application Form
Operational capacity and current support
Support staff
Do you currently employ support staff?
Yes
No
EFT:
If no, do you currently have access to support staff
Yes
No
EFT:
If Yes, is this support via a Local Land Services Officer?
Yes
No
Is this support via a local government?
Yes
No
Is this support via other Landcare Network?
Yes
No
Yes
No
Does your organisation receive any base level funding for support
(ie not for on-ground works, or for specific events)
Amounts currently secured under contract:
2015-16
2016-17
2017-18
RLF
CSO/LSO/Landcare Coordinator
Other:
Other:
Support facilities
Please indicate the facilities you will have available to support the Local Landcare
Coordinator
Office
Yes
No
Computer, printer, phone, etc
Yes
No
Vehicle or a process of reimbursement for private vehicle use
Yes
No
OR: We have agreement from another organisation to provide support services
*please provide a letter from this organisation outlining their commitments
Yes*
No
Employment arrangements
Please outline the policies and employment arrangements you currently have in place:
WHS policy and statement
Yes
No
Workers compensation insurance policy
Yes
No
PAYG registration with ATO
Yes
No
Superannuation account with the small business clearing house
Yes
No
If you are successful we will instigate the above procedure/s
Yes
No
OR:
We have secured arrangements for another organisation to provide
employment services for the Local Landcare Coordinator
Yes*
If you answered NO to the any of the above:
No
*please provide a letter from this organisation outlining their commitment
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Local Landcare Coordinator Host Organisation Application Form
Insurances
Does your organisation currently have any of the following insurances?
Insurance type
If yes, name of insurer
Public liability
Yes
No
Volunteer accident
Yes
No
Workers compensation
Yes
No
Associations liability
Yes
No
Professional indemnity
Yes
No
General insurance
Yes
No
Reporting and participation in the Community of Practice
Each organisation that hosts a Local Landcare Coordinator will be required to:

Maintain the employment of a 0.5 EFT Local Landcare Coordinator (or other level as determined) to work
with their community to achieve the outcomes of the Local Landcare Coordinator Initiative

Attend, participate in, and contribute to the state and regional Community of Practice

Contribute to a program level MERI plan (monitoring, evaluation, reporting and improvement) that will
include the completion of each of the following:
o
o
o
o
o
o

a work plan that includes a strategic planning / action planning or review process for their host
organisation
baseline and annual governance health check, focused on policy, procedures and operations
baseline and annual group health check – based on activity level, numbers and change in
capability
baseline and annual collation of investment and partnerships
baseline and annual collation of activity undertaken
three one-page case studies per year
Complete a six-monthly contractual report.
Declaration
I declare that I am an authorised representative of the organisation.
Our organisation understands the above requirements and is willing to participate and contribute to the state and
regional community of practice and the above reporting.
We agree that the information provided in this form may be used for the purposes of the Local Landcare
Coordinator Initiative by Landcare NSW and Local Land Services.
Name
Position with host organisation
Signature
Date
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Local Landcare Coordinator Host Organisation Application Form
Submitting the form
 Email to landcare.admin@lls.nsw.gov.au
Applications to host a Local Landcare Coordinator will
be accepted until 5pm on Wednesday 14 October 2015
Privacy notice: Information collected will not be given to any other third party except where required by law. All information provided will be held
by the Local Land Services and will be managed in accordance with provisions under the Privacy and Personal Information Protection Act 1998.
Office use only
Entered by
Date
Checked by
Date
Page 13 of 15
Local Landcare Coordinator Host Organisation Application Form
Section B – Partnership bid
Partnership details
This section should be completed by the lead organisation in a partnership bid.
Please ensure that each partner in the bid also completes Section A.
The lead organisation is responsible for submitting the completed application, which will include:
 Section A – one copy completed by each of the partner organisations
 Section B – completed by the lead organisation.
Name of partnership bid
Lead organisation
ABN of lead organisation
Postal address
Contact person
Email address
Office telephone
Mobile
Contractual arrangements
You should answer YES to one of the following statements;
This partnership bid has been formed to collaboratively determine the hosting arrangements
for Local Landcare Coordinators in the region.
The contractual arrangements will be between the lead organisation and Local Land
Services. The lead organisation will be contractually responsible for ensuring all
requirements are met by the partner organisations.
Yes
No
OR
This partnership bid has been formed to collaboratively determine the hosting arrangements
for the Local Landcare Coordinators in the region.
The contractual arrangements will be between each partner organisation and Local Land
Services.
Yes
No
If the lead partner is also applying to host a Local Landcare Coordinator, they must fill out and attach a Section A
If the lead partner is going to be contractual body for the partnership bid, the lead organisation must also complete
Section A to establish the suitability and eligibility of that organisation to participate in the local Landcare
Coordinator Initiative.
Partners Organisations
A completed Section A for each partner organisation in the partnership bid must be submitted with this application.
Please complete the table on the next page.
Provide a justification of why the partners in the consortium believe that the delivery of the Local Landcare
Coordinator Initiative will best be delivered via this arrangement.
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Local Landcare Coordinator Host Organisation Application Form
Coordinator arrangements
Please specify how the Local Landcare Coordinator(s) positions will be allocated.
Lead organisation
EFT requested
Partner organisation
EFT requested
Partner organisation
EFT requested
Partner organisation
EFT requested
Partner organisation
EFT requested
Partner organisation
EFT requested
Partner organisation
EFT requested
Declaration
I declare that I am an authorised representative of the lead organisation and that the details above concerning the
partnership bid have been collaboratively developed by all partners, and that our organisation will continue to
provide a forum for the collaborative implementation of a partnership bid.
We agree that the information provided in this form may be used for the purposes of the Local Landcare
Coordinator Initiative by Landcare NSW and Local Land Services.
Name
Position with host organisation
Signature
Date
Checklist: please make sure you attach the following when you submit your application:
Please submit as word document format
Section A – one for each partner if a partnership bid
Section B
Submitting the form
 Email to landcare.admin@lls.nsw.gov.au
Applications to host a Local Landcare Coordinator will
be accepted until 5pm on Wednesday 14 October 2015
Privacy notice: Information collected will not be given to any other third party except where required by law. All information provided will be held
by the Local Land Services and will be managed in accordance with provisions under the Privacy and Personal Information Protection Act 1998.
Office use only
Entered by
Date
Checked by
Date
Page 15 of 15