Application Form 39 Mercer Road, Albany, Western Australia 6330 Telephone: 08 9845 8537 Facsimile: 08 9845 8538 info@southcoastnrm.com.au www.southcoastnrm.com.au Southern Soils ‘Improved and protected land resources through sustainable land use matched to land capacity’ (Southern Prospects 2011-2016) This project is supported by South Coast NRM, through funding from the Australian Government’s National Landcare Programme Southern Soils 2015-17 - Round 2. Applications close 5pm Friday 16th October 2015 Organisation/Business Name: Legal Entity Name (if different to above): Primary Contact Name: Phone: Email: Mobile: Fax: Organisation status: Preferred contact method: □Incorporated body □Sole Trader □Individual □ Partnership □Statutory body □Other (please specify): □Corporate body □Contractor □Phone □Mobile □Email □No preference ABN: GST Registered Physical Address: Mailing Address: □Yes □No Organisation/Company website (if applicable): 1 PROJECT TITLE: WHICH FUNDING PRIORITIES IS YOUR PROJECT ADDRESSING? PLEASE TICK ALL THAT APPLY: □ Improving soil health through better soil biology, managing nutrient additions and management of soil structure where it can be demonstrated that this will lead to increased productivity, provision of ecosystem services and reduced nutrient loss □ Maintaining groundcover levels above regional groundcover targets to reduce soil and nutrient loss, through wind and water erosion, and improve air and water quality □ Managing soil acidification to improve productivity and avoid future loss of productive land through subsoil acidification □ Managing nutrient additions to soils to improve productivity, reduce losses into waterways and slow rates of soil acidification □ Providing information on new technologies to help land resource managers make better decisions about sustainable practices and ecosystem services PLEASE GIVE A BRIEF OUTLINE OF YOUR SOUTHERN SOILS PROJECT IN 250 WORDS OR LESS. PLEASE INCLUDE THE FOLLOWING: The soil health issue/s being addressed The significance to your local farming community, and The practice/s being trialed and how it/they might address the issue. 2 WHAT ARE THE PROJECT’S MAIN AIMS AND OBJECTIVES AND HOW DO THESE ADDRESS THE FUNDING PRIORITIES IDENTIFIED ABOVE: WHAT IS THE BACKGROUND TO THE INNOVATIVE PRACTICE THAT YOU ARE WANTING TO TRIAL? GIVE A BRIEF OVERVIEW OF ANY PAST TRIAL WORK ON THE PRACTICE, CURRENT USAGE AND WHAT YOUR TRIAL WILL ADD TO THE EXISTING BODY OF KNOWLEDGE: WHAT ARE THE PLANNED ON-GROUND ACTIVITIES REQUIRED TO SET UP THE TRIAL/DEMONSTRATION? PLEASE INCLUDE AN APPROXIMATE TIMELINE FOR UNDERTAKING THESE ACTIVITIES (NOTE ALL WORKS MUST BE COMPLETED BY 30TH OCTOBER 2017): 3 WHAT ARE THE PLANNED MONITORING METHODS FOR THE TRIAL/DEMONSTRATION? PLEASE INDICATE TYPE, TIMING AND FREQUENCY OF MONITORING. THE FOLLOWING MUST ALSO FORM PART OF YOUR MONITORING STRATEGY: Fully attributed GIS data and mapping in digital format for the site Thorough photo monitoring in digital format Reports of all extension activities, including numbers attending and evaluation of the event Brief social surveys of the farmers involved in the trial/demonstration HOW MANY FARMING BUSINESSES WILL BE DIRECTLY INVOLVED IN THE TRIAL/DEMONSTRATION? HOW MANY PEOPLE WOULD YOU BE EXPECTING TO ATTEND ACTIVITIES SUCH AS FIELD WALKS AND MEETINGS? HOW WILL YOU SHARE INFORMATION AND PROMOTE ADOPTION OF THE PRACTICES BEING TRIALLED OR DEMONSTRATED? PLEASE INCLUDE DETAILS OF THE FOLLOWING : Field days/field walks, Information products (fact sheets, You-Tube videos etc), and Media articles (including newsletter and newspaper articles, website updates) 4 WHAT ARE THE MAJOR RISKS FOR YOUR PROJECT AND HOW WILL YOU MANAGE THOSE RISKS? FOR EXAMPLE, HAVE YOU CONSIDERED THE RISK OF FAILURE OF THE INNOVATION AND WHEN THIS WOULD BE REPORTED TO SOUTH COAST NRM? OTHER RISKS MIGHT INCLUDE SEASONAL CONDITIONS, AVAILABILITY OF MATERIALS ETC: PLEASE PROVIDE A BROAD INDICATION OF THE BUDGET FOR YOUR PROJECT. A LIST OF BUDGET ITEMS WILL BE NEEDED TO ASSESS THIS APPLICATION; HOWEVER A DETAILED COST BREAKDOWN WILL BE FINALISED AT A LATER STAGE IF YOUR PROJECT IS SUCCESSFUL. Please remember: All figures in the below budget should be quoted excluding GST. The maximum amount of funding that can be applied for is $20 000 ex GST. Funding recipients are expected to make a significant contribution to the costs of the project via in-kind and/or financial contribution, depending on the level of private benefit that may be derived from the project activities. A maximum of 10% of project funds can be allocated to MERI, GIS mapping, photo monitoring, farmer surveys, administration and reporting to South Coast NRM as required. This does not include the cost of detailed trial site monitoring and data collection (ie soil sampling) or data analysis. Please contact South Coast NRM if you have any questions regarding the above points. 5 BUDGET: Planned Activity South Coast NRM funding requested In-kind contribution Approximate completion date of planned activity On-ground work Monitoring and evaluation of the trial/demonstration site Extension, capacity building and community engagement Project administration and MERI costs (maximum 10%) TOTAL SITE MAP: PLEASE ATTACH A PROJECT SITE MAP THAT SHOWS THE LOCATION OF PROPOSED ON-GROUND WORKS: 6 HAVE YOU RECEIVED ASSISTANCE TO DEVELOP THIS APPLICATION? IF SO BY WHOM? DO YOU HAVE ANY OTHER COMMENTS NOT COVERED BY THIS APPLICATION FORM THAT YOU WOULD LIKE US TO CONSIDER IN ASSESSING YOUR APPLICATION? I HEREBY CONFIRM THAT THE INFORMATION PROVIDED IN THIS APPLICATION FROM IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT I HAVE THE AUTHORITY TO SUBMIT THIS FORM AS A REPRESENTATIVE OF THE APPLICANT ORGANISATION. SIGNATURE OF APPLICANT: DATE: SIGNATURE OF SPONSOR ORGANISATION (if required): DATE: Questions? You are encouraged to discuss your proposal with South Coast NRM Project Staff before completing your application. Contact details are: Charlotte Powis Southern Soils Project Officer South Coast NRM Inc Phone: 98458514 Mobile: 0447 928 435 Email: charlottep@southcoastnrm.com.au Penni Hewett Land Program Leader South Coast NRM Inc Phone: 9845 8507 Mobile: 0429 831 130 Email: pennih@southcoastnrm.com.au Application Forms and Lodgement PLEASE SUBMIT ALL APPLICATIONS TO SOUTH COAST NRM BY 5PM FRIDAY 16th OCTOBER 2015 It is preferred that applications are lodged by email. For those without access to email applications can be lodged by fax, mail or in person. Email: info@southcoastnrm.com.au Fax: 9845 8538 Mail: Southern Incentives – Southern Soils South Coast NRM Inc 39 Mercer Road Albany WA 6330 In person: Lodge at reception South Coast NRM offices 39 Mercer Road Albany WA 6330 7