Wai Ora Fund 2015-16 FUNDING ROUND:
APPLICATION FORM
Project Title:
Applicant Group Name:
Legal Entity to be contracted with:
Proposed Start Date: (Contracts in
place approx March 2016)
Proposed End Date:
Wai ora Funding Amount
Requested:
Complete application form. Use font Calibri size 11. Use F11 or your mouse to
move from one grey box to another.
Attach detailed project budget including costings (e.g. hourly / daily rates).
Keep all appendices/attachments to no more than 6 pages in total.
Please note that the Wai Ora Fund requires a minimum of 20 percent non-Wai
Ora contribution towards the total project expenditure.
E-mail to: info@waimaori.maori.nz by 5pm, Monday 7 December 2015. Please put
your project title in the ‘Subject’ line of your email.
No late applications will be accepted.
Section 1
Project Details
1. Project Summary:
In 150 words or less, state what your project is about and what it will achieve.
2. Problem or Opportunity:
Why is this project needed? Describe the size of the problem or opportunity and how this project
will address or take advantage of it? Explain how the project will promote or support
collaboration or partnerships.
3. Project Plan:
Clearly explain the project and project methodology and how the project may be innovative or a
new way of approaching freshwater fisheries problems.
4. Risks and Barriers:
What are the risks for the project (political, technical, biological etc.)? Identify the likely impact
on the project, and how these risks will be managed or overcome.
5. Benefits to Māori:
Describe the economic, social, environmental and cultural benefits this project will contribute to
Māori and the wider community, both at the completion of the project and in the longer term?
How will you evaluate this?
6. Advancing Māori interests in Freshwater Fisheries:
Describe how the project contributes to the Te Wai Māori purpose of advancing Māori interests
in Freshwater fisheries.
7. Te Ohu Group Values:
Describe how the project will operate to uphold the Te Ohu Group values of integrity,
relationships and leadership.
8. Knowledge Sharing and Extension:
How will the results be communicated and implemented to benefit the community of interest.
Can it be replicated in other rohe?
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9. Project Budget
Complete a project budget which shows how all expenses including how in-kind contributions
have been calculated. (fill in below or attach separately)
10. Project Resources (Complete Appendix 1):
Who is involved in the project? Include management, financial, science and extension team
members.
11. Milestones (Complete Appendix 2):
Detail the project milestones. Funding payments will only be made against successful
achievement of these milestones (refer to guidelines for details).
12. Grantee Details (Complete Appendix 3)
13. Attach Methodology or project plan as Appendix 4 if this application form has not been used
(Appendix 4):
2
Project Budget: (or attach as a separate document)
Contributions for
financial year (FY)
(1 Oct to 30 Sept)
2015/2016
Income
Cash contributions
Wai Māori Funds requested (this fund)
Other Source 1
Other Source 2
Other Source 3
Total Cash Contributions:
In-kind Contributions (see guide for information)
Total B: Total In-kind Contributions
Total C: Total Contributions
Status Of Cash Contributions
Other Funding source:
Source 1:
Source 2:
Source 3:
Confirmed (Y/N)
Pending (Y/N)
Application Declaration Confirmation
Duly Authorised Agent of the Applicant Group: Name:
Discussed (Y/N)
Date:
By completing and submitting this application, the agent certifies and understands that:
 The Applicant Group has read and understood the guidelines, including the intellectual property section.

The project is believed to be eligible for a Wai Māori grant;

All information provided is up to date, true and correct;

If a grant is approved, a contract will be entered into between the Applicant / Grantee and Te Wai Māori Trust. Te Wai Māori Trust will only enter
into a contract with a legal entity;

Summary information about the application and any resulting grant (incl. applicant name, project title, and a summary of the proposal, its
progress and results) may be made publicly available;

The signatory has the authority to commit the Applicant / Grantee to this application / contract; and

By submitting this application, the Applicant Group acknowledges that the assessment of projects will be a subjective and relative process, and
that Te Wai Māori has final decision-making authority in this process.
For any further queries please email info@waimaori.maori.nz
Appendix 1
Project Resources
Project Team: Confirm that the member has agreed to support the project and act as a member of the
project team. This project team should represent the interest of those identified in the application.
Note that your group needs to have the appropriate cultural, technical, project management and
financial management skills to successfully deliver on this project.
Project Manager
Name:
Address:
Phone/Mobile number:
Email address:
Finance Manager
Name:
Address:
Phone/Mobile number:
Email address:
Other project team members
Name
Organisation
Role
Appendix 2
Milestones
List all significant milestones that lead to the project being successfully delivered (i.e. completion of the
project’s outcomes or objectives).
Note that funding payments will be made upon successful completion of a milestone. Evidence of milestone
completion will be required. Please ensure that the payment dates below match your planned cash flow for
the project.
Milestone
Evidence of
Milestone
Wai Ora
Activity description:
completion
milestone
No.
Funding sought
date
completion
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2
3
4
5
6
7
8
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Project Final Report