Application worksheet

Project title*

Date of application*

Applicant*

Sponsoring CDEM Group*

Other local authorities, Groups or organisations supporting this proposal

Executive summary*

Challenge/opportunity*

Alignment with priorities and objectives of the National Disaster Resilience Strategy (NDRS)*

Alignment with Principles and Allocation Preferences*

Application of outcomes/benefits to sector*

Ongoing costs (post-project) and how it will be funded*

Project manager*

Other project members

External providers/contractors

NEMA resource (if needed)

Key milestones and dates for completion*

Risks and suggested mitigation/management*

CDEM Resilience Fund contribution*

Local authority / organisation contribution*

Other sources of funding or support

Total Budget*

Are you prepared to attend an interview in support of this application (if needed)?*

Is this application from an individual or other organisation*

Does the CDEM Group support this application?*

Name*

Title*

Email*

Signature*

Name*

Title*

Email*

Signature*

CDEM Group comment