Zoos Victoria International Conservation Grants Application Form
Please submit applications to conservationgrants@zoo.org.au
APPLICATION FORM: Grants Program for International Conservation
Office Use Only
ZV Application
Reference No:
Date Received:
/ /
Applications are open from 1 August to 31 October, 2013. Successful applicants will be notified in early December 2013
and projects are to be completed by 1 November 2014. Successful applicants will be required to provide final project
reports by 1 December 2014. Points of clarification and completed applications should be addressed to
conservationgrants@zoo.org.au
Zoos Victoria is a not-for-profit zoo-based conservation organisation dedicated to fighting extinction. Our pursuit of
tangible conservation outcomes for threatened species includes a major focus on engaging people in ways that enable
them to take action to help wildlife. This approach is reflected through our long-standing international conservation
partnerships. Engaging and building the capacity of communities to save wildlife is a significant challenge; we believe
that it is essential if we are to secure sustainable long-term conservation outcomes for wildlife.
Consequently, the theme for the 2013-14 round of Zoos Victoria’s Grants for International Conservation is ‘Wildlife
Conservation through Community Engagement’. This recognises that engaging people in protecting wildlife whilst
building social capacity is critical for the conservation of wildlife. Approaches that influence the adoption of
conservation sensitive-behaviours will be favoured. Projects supported through this program must demonstrate
meaningful on-ground benefits to wildlife and people.
SECTION 1: Project Summary
1. 1 Project Specifics
Project Title:
Project Location:
Country:
Specific Locality:
Organisation:
Registered charity
Other (please specify)
Organisation Status:
Business entity
Non-profit
1.2 Personnel Details – Project Leader/s
Name
Position/Organisation
Telephone
Email
Contact person (if
different to above)
Number of full and part-time
staff
*Please add further lines as required.
1.3 Project Organisation Details
Name of CEO
Website
Zoos Victoria International Conservation Grants Application Form
Please submit applications to conservationgrants@zoo.org.au
1.4 Funding (in Australian dollars)
Total $ sought from ZV:
$
Total Project Budget:
$
1.5 Description of Project (maximum 250 words)
Include project context, purpose and expected conservation impact of proposed project.
SECTION 2: Conservation Benefits
NB: Responses to Section 2 must be limited to 4 pages of a minimum 12 point font. Title Page, budget and
additional information are not included in this limit. Brief bullet points are welcome.
2.1 Describe the expected on-ground outcomes of the Project, for wildlife AND people, and how they address the
key threat(s). What does success look like?
2.2 Outline how the project’s wildlife conservation and social outcomes will be measured and evaluated. You may
wish to consider short-term (< 1 year) and long-term measurements/indicators of success (> 1 year).
Zoos Victoria International Conservation Grants Application Form
Please submit applications to conservationgrants@zoo.org.au
2.3 Detail how the project will strengthen local community capacity.
2.4 Detail the expected wildlife conservation scope of the project, i.e. does it impact at a species, population,
habitat or ecosystem scale?
2.5 Describe the anticipated scenario if action is delayed, or if no action were taken.
2.6 What plans, if any, do you have to share the project outcomes with other organisations and interested parties?
Zoos Victoria International Conservation Grants Application Form
Please submit applications to conservationgrants@zoo.org.au
Probability of Success
2.7 Summarise the project design and how this will logically lead to the stated expected outcomes,
i.e. Objective(s), Methodology, Actions, etc.
2.8 Summarise the relevant expertise and track record of the Project Leader, project team, and host organisation
in delivering conservation outcomes?
2.9 Is successful delivery of the project dependant on other factors, such as additional funding or buy-in/approval
from governing bodies? If so, have they been satisfactorily addressed?
2.10 Are there risks to successfully undertaking the project and, if so, how will they be mitigated?
2.11 Will the project outcomes be sustained once a grant from Zoos Victoria has been expended?
Zoos Victoria International Conservation Grants Application Form
Please submit applications to conservationgrants@zoo.org.au
SECTION 3: Project Budget
Please use this budget template, note any funds from other sources, and clearly indicate priority items. A timeline
should accompany the budget (see Section 4).
Please note:
All funds granted by Zoos Victoria must be expended by 1 November 2014.
Funding from Zoos Victoria will not exceed AUD. 20,000 per project.
If the budget includes salaries, Zoos Victoria will only support these for local/national organisation staff
(not expatriate staff).
Salaries must not exceed 40% of the funding requested from Zoos Victoria.
Budget Item (add additional lines as necessary)
Total funding sought from Zoos Victoria (AUD):
Cost
Source of funding
(Place * to indicate if funds are secured)
Zoos Victoria International Conservation Grants Application Form
Please submit applications to conservationgrants@zoo.org.au
SECTION 4: Project Timeline
Mark the months against the activities you wish to undertake.
Activity
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
*Please add further lines as required.
SECTION 5: Additional Information
NB: This will not count towards the page limit
Please attach the following documentation to support your application
1. Curriculum vitae of project leaders (maximum of 2 pages each)
2. Letters of reference, recommendation, collaboration/agreements with other organisations and support from relevant range-state agencies (optional)
3. Copies of permits (if applicable)
Nov
Dec
Zoos Victoria International Conservation Grants Application Form
Please submit applications to conservationgrants@zoo.org.au
SECTION 6: APPLICANT DECLARATIONS
To be signed by each Project Leader listed
I hereby declare that:
1.
The qualifications and experience of all personnel to lead this project are appropriate for the activities
described in this application.
2.
I agree to discuss any proposed changes to the activities and/or personnel described in this application
with the nominated Zoos Victoria contact person for this project.
3.
I agree to submit a final report by 1 December 2014.
4.
I will provide copies of any reports, theses or publications arising out of the project; and will
acknowledge Zoos Victoria’s assistance in any such reports and publications.
5.
I will provide information and images of this project to promote the initiative upon request.
Name:
Signature:
Date:
Name:
Signature:
Date:
Name:
Signature:
Date:
*Please add further lines as required.
Successful applicants will be required to provide final project reports by 1 December 2014.
OFFICE USE ONLY: ZV ENDORSEMENT
Endorsement of International Conservation Partnerships Manager
Name:
Signature:
Project Leader Notified
Date:
Date:
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Date of Funds Transferred:
/
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