Dandenong Ranges Environmental and Bushfire Reduction
Community Grants 2015 - 2017
Application form medium size projects (up to $50,000)
Contact details
Organisation Name
Authorised officer
Contact Person
Contact Phone Number
Contact Email
Contact Mobile Number
Postal Address
ABN Number
Suburb
Post Code
Group Incorporation Number / FTLA No.
Is your organisation incorporated and working in the Dandenong Ranges?
Is your organisation Registered for GST?
Yes
No
Is your organisation Insured?
Yes
No
Yes
No
In order to receive a Grant, your organisation will need to be covered by public liability insurance of $10M and personal accident
insurance (or to be auspiced by an organisation that carries such insurance), or be a current member of the FTLA. If your
application is successful, you will need to provide a photocopy of your certificate of currency. A certificate of currency is a
summary of the insurance cover showing relevant details.
Project details
Please describe your project (what activities, when, who will participate, where will the work occur, how will
the funding be used). Please include the specific location where the activity will occur (e.g. include a map,
address, nearest crossroad).
Please address the following in your description:

What are you aiming to achieve with your project?

How does your project contribute to the goals of the
programme? That is, how will your project contribute to biodiversity improvement? How will your
project will either reduce bushfire risk or at least avoid increasing it?
PROJECT TITLE: ________________________________________________
Project duration: ________________________________________________
DESCRIPTION:
DESCRIPTION cont.
Program Priorities
The goals of this programme are to improve native vegetation and habitat for native species (via actions like
managing weeds and pest animals) while reducing (or at least not increasing) bushfire risk.
Describe how your project contributes to these priorities:
Improve native vegetation
and habitat for native species
(including managing invasive
weeds or pest animals)
Reduce bushfire risk
(through fuel management)
For more information community.grants@ppwcma.vic.gov.au
Ph: 03 8781 7921
2
Project delivery
For each of the main activities in your project, please describe how it will be delivered. Delivery approaches
include volunteer labour, grants, contractors, workshops, property plans etc.
Project risks
Describe the key risks to the project. There are the risks that are very likely to arise and they will have a
significant impact on delivery of the project (high likelihood and high consequence.
Describe how these key risks will be managed.
For more information community.grants@ppwcma.vic.gov.au
Ph: 03 8781 7921
3
Outputs
Please list the specific outputs your project will produce. Outputs are the tangible products and measures of
activities. Select from:
• Native vegetation – area established, maintained or modified (includes direct seeding, mulching, plant
guarding, slashing, thinning, tube stock planting)
• Weed control – area treated (includes biological control, burning, manual removal, drill and fill, mechanical
removal, spray)
• Pest animal control – area treated (includes baiting, fumigation, shooting, trapping, habitat destroyed)
• Fencing – area where fence installed, maintained, removed, modified or replaced (includes fencing for
containment or exclusion). Please nominate target – domestic stock, pest animals, native species, vehicles,
people
• Area where fire regime has been altered
• Land manager agreements – number and area covered by the agreement, type of agreement (including
binding non-perpetual, or binding perpetual)
• Field day, presentation, training or workshop – number of events, participants
• Management plan – area covered by plan and focus for the plan (e.g. conservation, fire, management
practices, flora, fauna, culture, heritage)
Output
Quantity
E.g.
Native vegetation modified via planting of understorey grasses
Weed control by manual removal and spraying
8 ha
10 ha
Funding details
Please detail the proposed budget (up to $50,000) for the activities you described above.
Each budget line should also clearly state the quantity (with units) and rates (price per unit) for each
purchase.
Funding rates /costing guidelines:

Volunteer in-kind labour is to be costed at $30/hour
(max). Generally contractor rates should be under $60/hour. Rates above this must be explained
and justified.

A maximum of 10% of project budgets can be
allocated to project management and administration. Any requirements above this will require strong
justification and will be considered on a case by case basis.
Item [add further lines as needed]
Budget
E.g.
Contract labour for weed control (15 ha)
Fuel management burn plan preparation (20 ha, CFA and Fire Services Pty Ltd)
$2,500
$4,800
TOTAL FUNDING REQUESTED:
$___________________
TOTAL CO-INVESTMENT (CASH OR IN-KIND) ANTICIPATED:
$___________________
For more information community.grants@ppwcma.vic.gov.au
Ph: 03 8781 7921
4
Acknowledgement
On behalf of the organisation we understand that this is an expression of interest only and that final
project approval will be subject to funding availability and project suitability. Assistance is not available
for work completed prior to project approval and the signing of an agreement.
If submitting this form electronically, please type your name in CAPITALS in the signature box and it will
deemed that you agree to the terms above.
Authorised Officer Signature:
Name:
Date:
Position:
Contact person signature:
Name:
Date:
Successful organisations will be required to enter into a signed agreement with the PPWCMA that will
provide a summary of agreed works, timeframes and reporting requirements. This agreement will be a
legal document.
Privacy
Personal information supplied by you and/or contained herein is collected, stored and maintained for the purpose of facilitating
and administrating this grant process. This information maybe disclosed to relevant government organisations or other agencies
for the sole purpose of administering the grant for which the information was collected. The information collected is not traded,
sold, licensed nor used for commercial marketing purposes. You have the right to access to this information. Sites are to be made
available for auditing, monitoring or demonstration purposes at the request of PPWCMA staff.
Submission Checklist
Have you:
[ ] Completed all sections of the
application form?
[ ] Obtained all the necessary
signatures?
[ ] Attached copies of all relevant
documentation?
[ ] Double checked your budget figures?
Please send your completed application to:
Community Grants
C/O PPWCMA
Lvl 1, Landmark Corporate Centre
454 – 472 Nepean Hwy
Frankston Victoria 3199
Or email the completed form and documents to:
Community.grants@ppwcma.vic.gov.au
REMEMBER: APPLICATIONS CLOSE 10 APRIL 2015
For more information community.grants@ppwcma.vic.gov.au
Ph: 03 8781 7921
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