Overview

Question	Answer
Name of the applying organisation:
Title of project/initiative
Total amount of funding sought
Duration (must start after July 2026)
Leadership (CEO or equivalent)	Name: Email: Phone:
Eligibility check-list	The organisation has ABN: select Project to be delivered in Australia?: select
Organisation’s governance	Below are desirable traits: Skill-based Board/Advisory Committee/Council Members serve a maximum fixed-term Majority non-executive members Any remarks:
Value of the minimum cash reserve established by your governing body
Latest month-end cash reserve amount
Any liquid assets held (e.g. bonds, shared, EFTs)
Does the organisation have an endowment fund? If so, specify the corpus amount.
References - who can we contact to obtain references?	Current significant donor/funder: Name: Email: Current key partner organisation: Organisation name: Contact name: Email:
Have you attached these documents?	Latest annual report with financial statements Organistion’s governance document

The Primary Objective

Objective	Explain the key objective of the project/initiative. What's the main problem or need that's being addressed? What's the scope of the project?
Success Measurable Metrics	List measurable metrics that indicate when the objective has been reached

Alignment with the PEF scope

Demonstrate initiative’s alignment with the PEF’s funding scope by ticking the boxes that are applicable under each category:

Environmental outcome sought:

Protection of high conservation value habitats

Reduction or mitigation of unsustainable management of natural resources

Eliminating pollution by removing its causes, preferably through the implementation of permanent solutions

Strategies and activities:

Are grounded in the best available science, including any relevant socio-economic studies

Provide current best available solution(s) that addresses the issue and avoid any negative consequences on other elements of the environment

Seek to address social licence on the status quo

Impact deliverables:

Add capacity or leverage the organisation’s operation and activities

Increase awareness of the general public or key stakeholders on the current state of the environment

Results in tangible protection or conservation of the environment

Break down barriers to effect positive environmental change(s)

Proposed activity

Outline what you propose to do:

Outline key milestones:

Outline timeframe:

Selection criteria

Demonstrate and address each selection criterion. Attach any supportive documents to the application.

Selection criteria	Answer
The organisation has a demonstrable proven track record of delivering measurable environmental impacts
Proposed activity yields measurable improvements in: environmental sustainability and preservation of biodiversity
Proposed activity breaks down barriers to change
Proposed activity has a strong stakeholder engagement strategy
Proposed activity has a strong impact strategy
Proposed activity has a financial sustainability plan in place or under development to sustain it once the PEF grant has been expended

Budget (all figures must be exclusive of GST)

Total program budget amount:
Funds secured from other sources to date (provide further details below): *
Applicant’s contribution - in-kind: *
Applicant’s contribution - cash: *
Amount sought from the PEF:

* N.B. These are desirable criteria.

Expenditure detail costs:

Use the table below to show a high-level budget breakdown. You can also attach a separate table.

Expenditure item	Amount
TOTAL	$0.00

Other contributions:

List all secured funding, including the name of donor/granter and the amount secured.

Sign-off

Date of submission:

Name of authorised representative:

Insert e-signature:

Once completed, send with all attachments: enviroofficer@purvesenvirofund.org.au