GCPNQ Guidelines and Application form

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Glencore Community Program
North Queensland
Guidelines
Globally, Glencore plc contributes funding for vital Corporate Social Involvement (CSI) initiatives.
The Glencore Community Program North Queensland (GCPNQ) is one of our CSI initiatives in
Australia, reflecting our belief that communities should benefit from our operations. Through the
GCPNQ we have provided more than $33 million to support north Queensland communities since
2005.
Vision
Our vision is to make a difference in
Queensland communities.
Mission
Our mission is to partner with
organisations to deliver innovative
services and programs with enduring
outcomes to improve the lives of
others, especially families and the
disadvantaged.
Key Areas of support
Capacity building
well-being and development of our
north Queensland communities:
Mount Isa, Camooweal, Cloncurry,
Townsville and Bowen.
Application Criteria
Our program will fund partnerships
between Glencore and community
organisations or government
agencies within our three key CSI
areas.
The GCPNQ Application Summary
Form must be completed and
submitted together with a detailed
application/proposal that addresses
each of the following criteria:
2.
How the proposed
initiative/project aligns with our
GCPNQ vision, mission, key
areas, and how it addresses
community concerns (provide
rationale to support your
proposal, i.e. feasibility studies,
outcomes from consultations,
surveys or gathered statistics,
and attach any support
material).
3.
Applicants’ expertise and ability
to manage the proposed
initiative in a professional
manner throughout the
partnership period.
4.
Provide a table outlining key
milestones and measurable
outcomes, and dates these will
be achieved by the
project/initiative over the
duration of the partnership.
5.
Benefits delivered to Glencore to
recognise the partnership and
Glencore’s contributions.
6.
Overview of the principal
beneficiaries and number of
In line with our CSI policy
guidelines, the GCPNQ will not
support:
Health
2. Political parties, political
organisations, politicians or
candidates for public office.
To receive funding from the GCPNQ
applicants must provide services or
manage community initiatives that
are sustainable and contribute to the
Overview of the organisation
applying for funding, including
primary clientele and an
overview of previous project
managed.
What we do not support
1. Applications from individuals,
including those seeking support
for activities such as academic
studies, competing in a sporting
event, travel or third party
fundraising.
Eligibility
1.
Applications must address the
criteria listed in the Application
Criteria section overleaf.
Capacity building, including:

Education / training;

Enterprise development; and

Economic diversification.
Environment
6. Requests to fund touring
sporting teams.
3. Church or religious activities
which are exclusive to one faith
community.
4. Requests to sponsor events such
as conferences or speakers at
conferences or symposia.
5. Organisations producing,
distributing or seeking
advertising in audio-visual
media, including print or
electronic media.
people who will directly benefit
from the initiative.
7.
How the project will remain
sustainable after the funding
period has ceased.
8.
Detailed project budget. Please
complete the Project Budget
Template attached.
9.
Supporting documentation.
Include a copy of the following
documents with your
application/proposal:
a.
Certificate of incorporation,
if applicable.
b.
Latest audited financial
statement for applicant
organisation; this must be
signed by an Auditor. If
unincorporated please
include end of financial year
bank statements.
c.
Letters of support from
relevant organisations
and/or individuals.
How to apply
For more information or to
make an application, contact:
North Queensland /
Mount Isa initiatives:
Jemma Schweikert
Community Relations Advisor
Mount Isa Mines Ltd
Private Mail Bag 6
Mount Isa QLD 4825
Email:
jemma.schweikert@glencore.com.au
Tel: (07) 4744 3140
Cloncurry initiatives:
Vicki Wilson
Senior Community Relations
Advisor
Reporting and
evaluation
Ernest Henry Mining Pty Ltd
Formal measurement of agreed
program milestones will be
conducted in June and November
each calendar year of our
partnership. This will be used to
ensure targets are met and
partnerships achieve their stated
goals. Funding will be paid in the
first quarter of each calendar year.
For partnerships of over one year
duration, any subsequent payment is
dependent on agreed outcomes being
achieved at the conclusion of the first
year.
Cloncurry QLD 4824
We will develop a formal Partnership
Agreement, outlining contractual
obligations, including key
performance indicators for successful
partnership applications.
Email: avril.plath@glencore.com.au
PO Box 527
Email: vicki.wilson@glencore.com.au
Tel: (07) 4769 4578
Townsville and Bowen
initiatives:
Avril Plath
Community Relations Officer
PO Box 5484
Townsville QLD 4810
Tel: (07) 4781 8222
Note: Applications for
funding in 2016 must be
received by Glencore no later
than 30 September 2016.
Procedure for
processing
applications
Applications will be assessed
by the GCPNQ Management
Committee. We may seek more
information and choose to
meet with you to discuss
proposals in more detail. We
may also consult with local
communities to help evaluate
the suitability of proposed
partnerships.
Shortlisted and unsuccsessful
applications will be notified in
November with successful
applicants advised in January 2017.
Glencore Community Program
North Queensland
Summary Application Form
Date of Application
Date Received (OFFICE USE ONLY)
1. Organisation details
The organisation is the body applying for funding and undertaking the proposed project or activity
Legal name of organisation (as registered
with the Australian Tax Office):
Australian Business Number (ABN):
Type of organisation structure:
Private Enterprise or for-profit entity
Non-profit entity, included registered charities
Association
Community Council (Indigenous Council)
State Government funded agency
Local Government
Other (please specify)
Incorporated:
Yes
No, if yes provide details
GST registered:
Yes
No
Organisation address:
Postal address:
Who is the organisation’s main clientele?
2. Contact details
Primary contact person Full name:
Position in organisation:
Mobile:
Telephone (business):
Fax (Business):
Email address:
Accountable Officer Full name:
Position in organisation:
Mobile:
Telephone (business):
Fax (business):
Email address:
3. Project details
Project name:
Project Location:
(tick all that apply)
Mount Isa
Cloncurry
Townsville
Bowen
Other (please specify)
This application form provides a summary only of your organisation and proposed project.
Please attach your detailed project proposal and any supporting documents before submitting to the GCPNQ.
Timeframe including, including start and
finish dates:
Briefly outline your proposed project:
(Please provide a detailed description in your
attached detailed project proposal)
Briefly outline project milestones and
key dates:
Rank the focus areas from 1 to 3 with 1
being it best relates to your project and 3
being it least relates to your project:
Capacity building, including
education / training, enterprise
development and economic
diversification
Health
Environment
What are the expected outcomes of your
project?
(Please provide a detailed description in your
attached detailed project proposal)
Briefly outline your organisation’s prior
experience in managing and delivering
major projects:
4. Financial Request
Amount requested from GCPNQ:
$
Plus GST (if applicable):
$
Total:
$
Is this part or full funding for your project?
Part funding
Full funding
If it is part funding, what is the total anticipated cost of the project?
$
Please complete the Budget document
5. Beneficiaries / Community Benefits
Which communities will benefit from
your project? (tick all that apply)
Mount Isa
Cloncurry
Townsville
Bowen
Other (please specify)
Outline how your project will benefit the
local community; how will it have a
positive and sustainable impact?
Please provide a detailed description in your
attached detailed project proposal)
Approximately how many people in
each listed community will benefit?
7. Benefits to Glencore
This application form provides a summary only of your organisation and proposed project.
Please attach your detailed project proposal and any supporting documents before submitting to the GCPNQ.
Outline the recognition/benefits
Glencore would receive in return for
partnering with you on this project?
Please provide a detailed description in your
attached detailed project proposal)
8. Any other relevant information
9. Certification This should be signed by the contact person named in Section 2 and another officebearer from your organisation
We certify that:
•
The information given in this application is true and correct and that all the conditions of the partnership will be
complied with should support be approved;
•
The application is consistent with the aims and objectives of the incorporated body as set out in its Constitution; and
•
There will be appropriate insurance coverage for the project.
Contact name:
Contact name:
Position in organisation:
Position in organisation:
Signature:
Signature:
Date:
Date:
10. Detailed application
Remember to submit a detailed project proposal together with this summary application
as outlined in the GCPNQ Guidelines.
This application form provides a summary only of your organisation and proposed project.
Please attach your detailed project proposal and any supporting documents before submitting to the GCPNQ.
Glencore Community Program North Queensland
Project Budget Template
1. Financial Management
What is the total amount of funding required for your project/initiative to proceed (exclude GST)? NB This amount should be the same as
the total budget figure from section 4.
$
How much funding is being sought from the Glencore Community Program North Queensland in total (exclude GST)?
$
Other funding contributors: Please list below the names of any
other sources of funding requested for your project initiative:
How much has been requested from other funding sources?
Indicate if funding is confirmed or the date that
confirmation of the funding proposal/s success is
expected.
$
$
$
$
Does your project delivery/application rely on funding being received from the above?
Yes
No
What contribution will your own organisation or community/volunteers make towards the project/activity? E.g. volunteers’ time or funds already raised.
2. Project Budget
Please summarise into main categories how you would spend the proposed funding
Item Type. E.g. construction, equipment, labour, rent,
administration, collateral, resources
Total
Estimated Cost $ (exclude GST)
In-kind value e.g. existing or
partnership contributions,
volunteer wages etc.
Name of Funding Partner
or in kind partner if
applicable
Cash required not covered
in the in-kind value
column
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Please note: A breakdown of line item calculations and evidence of costing may also be required e.g. valuations, quotes, quantitative surveys. If insufficient space is available on form please
submit a separate project budget document.
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