Event Number
(LLS office use only)
Aboriginal Land Management Team Grant Application Form – 2015-16
This form is to be used to apply for funding under any Hunter Local Land Services (LLS) Grants
Programs. Please refer to the Grants Program Guidelines for further information about the terms and conditions of
applying for LLS funding.
Funding for LLS Grants programs is by New South Wales Government’s Catchment Action NSW
program.
1. PROGRAM DETAILS
Which LLS District is your
organisation in?
 Lower Hunter
(Lake Macquarie, Newcastle, Port Stephens, Cessnock, Maitland & Dungog LGAs)
 Upper Hunter
(Singleton, Muswellbrook & Upper Hunter LGAs)
 Manning-Great Lakes
(Great Lakes, Gloucester & Greater Taree LGAs)
Note: Your application may also be considered for funding under other LLS Programs.
2. APPLICANT AND PROPERTY DETAILS
Applicant (The name at the Applicant should
match the name of ABN holder if provided)
Contact Person
Mr/Mrs/Ms
Landowner(s) (if not applicant)
Mr/Mrs/Ms
Is the applicant an Aboriginal or Torres
Strait Islander individual or organisation?

Yes

No
Property Address (Project Location)
Suburb:
Applicant Postal Address
Suburb:
Postcode
Postcode
Contact Details
Telephone
Home:
Bus:
Mob:
E-mail
Project Location:
Lot/DP:
Property Identification Code (PIC):
LGA:
Area of proposed project (Ha)
Total Area of Property (Ha)
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Aboriginal Land Management Team Grant Program – Application
ABN and GST Status
Registered Business name:
Are you currently registered
for GST?

Are you an incorporated
association?
Yes

ABN:
No
Incorporated No.: _____________________
If not, either provide the name and
ABN of the auspicing organisation,
or write ‘pay supplier’ if you would
like LLS to pay your expenses
directly (no auspicing required for
this option):
Group membership
Are you affiliated with an Industry,
Landcare or community group

Yes

No
Group name: _____________________________________________
3. ABOUT YOUR ORGANISATION
Please provide an outline of your group/organisation’s role in sustainable natural resource and land
management:
How long has your Aboriginal group/organisation been operating for?
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Aboriginal Land Management Team Grant Program – Application
4. PROJECT PROPOSAL
Please select from the following list which type of activities are likely to be involved/benefit/covered by
your project:
Activity Type
Yes or No
Aboriginal land
management team (or
development of an
Aboriginal land
management team)
 Yes  No
Bush regeneration, seed
collection or propagation
 Yes  No
Conservation of native
flora or fauna
 Yes  No
Pest animal control
 Yes  No
Vegetation management
plan development
 Yes  No
Waterway / sea
management and
conservation
 Yes  No
Other:
 Yes  No
Details:
(If no,
ineligible to
apply)
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Aboriginal Land Management Team Grant Program – Application
4. PROJECT PROPOSAL continued
Name of the project:
Number of Aboriginal
people to be
employed/trained:
Area (Ha) of on-ground
management proposed:
Number of project
partnership (if applicable):
Brief description of
proposed project:
A short description of how
your project will building
capacity of ALMTs to
deliver on-ground works
on Aboriginal land and
other land.
Have you previously been
funded to undertake a
project with the
same/similar outcomes as
the project you are
seeking funding for in this
application?
 Yes  No
Details:
Describe any
innovation/improvements
to be used in your project:
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Aboriginal Land Management Team Grant Program – Application
6. PROJECT PLAN
What are you proposing to achieve through
implementing the project (outcomes)?
Examples: re-establish native vegetation; train and
employ Aboriginal land management team members,
raise community awareness
What works or activities will you undertake?
Examples: Plant & establish 500 trees; development of vegetation
management plan, control 2ha of lantana & blackberry
Completion date?
(month & year)
(Implementation of projects must be
completed by 30 June 2016
according to project plan timeframes)
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Aboriginal Land Management Team Grant Program – Application
7. PROJECT BUDGET
Note: For estimate purposes landholders/community groups should cost their in-kind labour component at $30/hour.
LLS funding is provided exclusive of GST. Please see the LLS’s GST Fact Sheet for more advice on funding and the GST implications.
Proposed activity/work/action
Examples: Plant trees, erect electric fence
Unit of
Measure
Quantity
Unit Cost
(excl GST)
Total Item
Cost (Excl
GST)
LLS Funds
Sought
(Excl GST)
Own Cash
Contribution
(Excl GST)
Own
Labour
In-kind
@$30/hr
Total – funds
sought + in kind+
cash contribution
(Excl. GST)
GST
TOTALS
NOTE: An excel version of the budget sheet is available from your Hunter LLS Contact Officer upon request.
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Aboriginal Land Management Team Grant Program – Application
8. MONITORING, MAINTENANCE AND REPORTING
How will you monitor whether your project is achieving
the Outcomes?
(BOLD rows are mandatory)
Tick adopted
monitoring
techniques.
Frequency or due date
Photo-point monitoring
Before and after photos of works
Step Point transect for assessing groundcover
Event evaluation sheets
Attendance records
Pasture composition quadrats
Tree survival rates
Final Report
Grazing records/Plan
8. ABORIGINAL CULTURAL HERITAGE AND CONSULTATION
Checklist Questions
Yes
No
Yes
No
Do you know of any Aboriginal sites or objects on your property or in the immediate area?
Are you aware of any Aboriginal history, stories or significant events that took place on your property or in
the immediate area? If YES, please provide a brief description below.
Is your project area located near a river, stream, lake, wetlands or watercourse?
Does your project area contain any of the following landforms: rocky or sandy hills, mountains, claypans,
caves, sandstone overhangs?
Will there be any native vegetation removed permanently?
Are you interested in planting any native vegetation on your property?
Will there be any ground disturbance involved in the project? If YES, please provide brief description
below.
Is the property on private (freehold) land?
Do you give permission for relevant project information to be provided to the Local Aboriginal Land
Council for the purpose of cultural heritage assessment?
Other Notes:
10. PUBLIC LIABILITY INSURANCE
I currently have Public Liability Insurance and a copy is attached
If you currently don’t have this insurance coverage, are you willing to acquire $10 million public liability
coverage, if you are successful?
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Aboriginal Land Management Team Grant Program – Application
11. MAP OF PROPOSED PROJECT WORKS
Contact your Hunter LLS contact officer to discuss your project and to develop a map of your project
area and works proposed for inclusion in your application.
You may also wish to provide photographs or a sketch of the proposed project site in the space
provided below to support your application.
12. CONFLICT OF INTEREST
Outline any conflict of interest you may have with the business or any director or staff of Hunter LLS
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Aboriginal Land Management Team Grant Program – Application
13. OTHER FUNDING
Has your group previously worked with, or received funding from, the following
organisations?
Hunter Local Land Services, Department of Primary Industries, Hunter-Central Rivers CMA or
Livestock Health and Pest Authority
If yes, please provide brief details of any current or previous grants, or financial assistance
you have received relevant to this project.
Funding
source/body
Year
Project title
Amount
Continuing
commitments
Do you have any other related funding applications currently under consideration?
YES / NO (If Yes, please list)
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Aboriginal Land Management Team Grant Program – Application
14. DECLARATION AND SIGNATURE
Before signing please ensure your application is complete in all sections as incomplete applications
will not be considered.
Successful applicants will need to adhere to the terms and conditions outlined in the Program
guidelines.
If a company or organisation, the applicant must be an authorised representative of the entity.
I,
Name of applicant (please print)
as the applicant confirm that all details outlined in this
application are true and correct.
Signature of applicant
Date
If you are applying to undertake a project on land of which you are not the owner, the landowner must
also sign the application for private holdings or the responsible entity must sign for public land. If the
landowner or responsible entity is a company or organisation, the signatory must be an authorised
representative of the entity.
I,
Name of land owner or responsible entity (please print)
as the landowner (or responsible entity) grant permission for
the applicant to undertake the project on the land and confirm
that I will be bound to all details outlined in this application.
Signature of landowner
Date
Submission details for each Program are presented in the Program guidelines.
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Aboriginal Land Management Team Grant Program – Application
Applicants Checklist for Grant Application
Do you have in your application for submission...
Yes
No
Have you attached your LLS generated map?

Yes

No
Have you attached a copy of your Public Liability
Insurance?

Yes

No
Has the land owner or responsible entity signed the
application?

Yes

No
Does the person/entity responsible for the agreement
name match the name against the ABN number (if
applicable)?

Yes

No
Are you aware of LLS minimum activity standards and/or
activity definitions for projects and that you will be required
to deliver your project in accordance with these?
 Yes

No
Have you answered every question?


No
Yes
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Aboriginal Land Management Team Grant Program – Application