Budget overview (More details must be provided in the preliminary work plan at question 22.) 6 Funding is generally provided on a from grant fund, $1 from the is ‘$2 applicant’ basis (unless special consideration sought under question 7, and awarded). Table below must include all funding sources. Grant Applicant’s Partner contribution Total amount Financial Year contribution amount sought (excluding GST) (excluding GST) (excluding GST) (excluding GST) 2014/15 $ $ $ $ 2015/16 $ $ $ $ 2016/17 $ $ $ $ Special consideration 7 Yes or No Is special consideration being sought for reduced council contribution? If you have answered yes, please indicate what funding ratio you are requesting. Ratio: to Note: please contact the Grants unit prior to filling out this question. Please provide details below (including why the issue being addressed is of regional or state-wide significance and why the applicant does not have the financial capacity to address it). 8 Financial commitment to the project stage and ongoing maintenance (if applicable) Yes or No Is the applicant able to provide its matching contribution to the project stage? Yes or No Has the budget for this project stage been identified in your forward budget? Does the applicant commit to maintaining any works in a condition suitable to meet Yes or No or N/A the design intent for the design life (works project only)? 9 Project summary Provide a plain language brief project overview (150 words or less), including location and the issue that the project will address. Please note this summary will be used by OEH for all promotional material relating to the grant (i.e. media, web site etc.) 10 Other funding Yes or No Do you have any current or planned proposals to other funding programs for this project or components of this project? If you have answered yes to the above, please provide details below Completion/ Funding source Year of expected Project name Program name Amount (eg. State or offer completion Commonwealth Government) date $ $
6 Budget overview (More details must be provided in the preliminary work plan at question 22.) Funding is generally provided on a ‘$2 from grant fund, $1 from the applicant’ basis (unless special consideration is sought under question 7, and awarded). Table below must include all funding sources. Financial Year Applicant’s contribution (excluding GST) Partner contribution (excluding GST) Grant amount sought (excluding GST) Total amount (excluding GST) 2014/15 $ $ $ $ 2015/16 $ $ $ $ 2016/17 $ $ $ $ 7 Special consideration Is special consideration being sought for reduced council contribution? Yes or No If you have answered yes, please indicate what funding ratio you are requesting. Note: please contact the Grants unit prior to filling out this question. Ratio: to Please provide details below (including why the issue being addressed is of regional or state-wide significance and why the applicant does not have the financial capacity to address it). 8 Financial commitment to the project stage and ongoing maintenance (if applicable) Is the applicant able to provide its matching contribution to the project stage? Yes or No Has the budget for this project stage been identified in your forward budget? Yes or No Does the applicant commit to maintaining any works in a condition suitable to meet the design intent for the design life (works project only)? Yes or No or N/A 9 Project summary Provide a plain language brief project overview (150 words or less), including location and the issue that the project will address. Please note this summary will be used by OEH for all promotional material relating to the grant (i.e. media, web site etc.) 10 Other funding Do you have any current or planned proposals to other funding programs for this project or components of this project? Yes or No If you have answered yes to the above, please provide details below Project name Funding source (eg. State or Commonwealth Government) Program name Year of offer Amount Completion/ expected completion date $ $
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