One moment please...
The Stephenson Fund - Application Introduction
  • We suggest you read through this application form, discuss your project/application with your Regional Representative, and prepare your answers before beginning so you'll have all the necessary information ready to assist in completing the form.  

  • You will be able to upload supporting documents (if you choose to) at the relevant sections and also at the end of the form.

  • You can make the text response boxes bigger by dragging the right lower corner into a larger rectangle. 

  • * Indicates a required field

  • If you click on a hyperlink within the application form, you will need to use the 'undo' arrow to get back to your applcation form (←)

  • Please note: Unfortunately you will not be able to save information in your form part way through then return to it - this application form must be completed in one session or information will be lost.

It is a prerequisite of applying that you read the Terms & Conditions of the fund.

Please indicate you have read the accompanying Terms & conditions before completing this form. You will find these here.

*
Section 1 - Applicant Information
*

First Name
Last Name
*

*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
*

*

If registered, please include your GST number here
*


Section 2 - Covenant Information
*

Please include all numbers if the project covers more than one covenant, and check-in with your QEII rep if you're not sure what this reference is
*
*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Section 3 - Project Information
*

Please outline your project plan below or attach this as a seperate document.
This should include:

  • project area (ha)
  • what you plan to do
  • when project works will take place
*



*

*


*


Section 4 - Project Costs

We require an outline of the estimated project costs and work involved to be submitted with your application.


Please read the following information before completing the budget outline in the following section and speak with your QEII rep if you have any questions.

  1. Applications must include your matching financial or in-kind contribution towards total project costs from the applicant. For example, if your project’s total value is $8,000 you can apply for a $4,000 grant and must contribute $4,000 (financially or in-kind). The exception to this criterion is if you are submitting a hardship application.

  2. Please outline below if your contribution to matching the grant is financial or in-kind. In-kind contributions can include planning time, labour, transport costs, and machinery costs. If you are including in-kind contributions, please state the number of work hours anticipated.

In-kind labour

 $25/hour

Mileage

 0.83c/km

Use of personal  vehicles/machinery
e.g.  tractor, quad bike, ute

 Up to $40/day

 

 

  1. Please outline below if you intend to engage a contractor during your project and include a quote for those works with your application.

  2. For materials/equipment, we require a quote or an example of the order included with your application.

  3. If you plan to include funding from another source in addition to your matching the amount of the grant, please include that figure in your budget outline below.

Budget Outline

Please outline below how you propose to split the cost of materials/equipment that would be purchased and the work required to achieve your project goals (remember your contribution must match the grant request, unless you are applying due to hardship).

Please provide GST inclusive figures only.

*

*

*

*


Please provide information on the source of additional funding and how it will be used within the project plan

*

You can also upload your own budget outline document - here is an example of how we would like a budget document submitted (please provide GST inclusive figures only)

Description of
- materials
- labour/work

 

QEII funding request 

 

Your matched 
contribution

 

Additional funds if applicable 

 

Total 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTALS (incl GST) 

$ 

$ 

$ 

$ 



Section 5 - If Your Application is Successful

If you are successful in receiving a grant through the Stephenson Fund, we would like to ensure the invoicing and reimbursement process works well for both parties. We will provide an invoice template for you to use when seeking reimbursement, and the table below outlines the options that will be available to you.

Up to $5,000 grant 

 

Greater than $5,000 grant 

 

Option 1 - once invoice 

All projects can submit one total/final invoice covering the entirety of their grant for reimbursement when the project is complete.  At this point, you will be required to submit evidence of your total financial or in-kind contribution.

 

Option 1 - one invoice 

All projects can submit one total/final invoice covering the entirety of their grant for reimbursement when the project is complete. At this point, you will be required to submit evidence of your total financial or in-kind contribution.

 

Option 2 - up-front payment

You will be able to request up to 50% funding up-front/before project works begin. Receipts must be provided to QEII once an up-front contribution has been utilised.

 

Option 2 - up-front payment

You will be able to request a maximum $2,500 funding up-front/before project works begin. Receipts must be provided to QEII once an up-front contribution has been utilised.

 

 

Option 3 - progress payments

Invoices may be submitted as expenses are incurred, however the minimum amount you will be able to invoice for at any one time is $2,000 (N.B. you may submit more than once invoice at a time, as long as they total minimum $2,000). You may also be required to provide evidence of your financial or in-kind contributions at this point. 

 

*
Section 6 - Term & Conditions

Please indicate if you have read the Terms & Conditions - this is a requirement of submitting an application for funding.

*
Section 7 - Submit Application


*

(dd/mm/yyyy)