Environmental and Sustainability Grant 2023 v1

Environmental and Sustainability Grant Application Form

Deadline: Friday, November 10, 2023 at 4:00 pm.

1. Application Information

Organisation Name:*

Physical Address:*

Street Address

Street Address Line 2

City

Postal / Zip Code

Key Contact Name:*

Key Contact Email:*

example@example.com

Phone Number*

2. Organisational Sector
Please tick your sector. Include the number of people involved with the project.

How long has your organisation been operating *

Organisation Sector:*

EducationalCommunity Organisation

How is this project supporting the organisations strategy, purpose, or charter?*

Number of people involved in the project*

Clearly describe the projects objective(s)*

Examples of any completed environmental projects to date.*

Why the project was initiated and what was achieved.

Describe the environmental benefits that will be gained from this project for the area.*

immediate area and/or wider area.

Describe how environmental benefits will be achieved.*

immediate area and/or wider area.

3. Project Category
Please tick the category to which the project will apply.

Project Category:*

Waste reduction in the areas of recycling, repurposing of materials and products.Habitat restoration/protection/development or expansion that enhances eco systems.Emissions (fuel, gas, electricity) – reduction, renewable energy generation.

4. Project Location
Please state the physical address where the project will be undertaken.

Project Location:*

Physical address of project

5. Permits/Consents
Please confirm that all required permits and or consents for the project have been granted?

Permits/Consents:*

YesNoNot Applicable

Are you awaiting approvals:*

YesNo

Please list permits/consents

All required permits and or consents for the project

6. Project Delivery Timeframe
The project should be completed within 12 months.

Project Start Date:

Date

Project Finish Date:

Date

Applications for projects started prior to the Grant application period or where this Grant will be used as part of a longer-term project will be considered.

Application File Type:*

Written DocumentPowerpointVideo

Upload Files here

please select "Browse Files" to upload your file.

Applicants Signature*