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Application worksheet

A printable version of Otago Regional Council - ECO Fund's application questions, extracted from their official form. Use it to plan your answers - then submit through the funder's real form.

View the original PDF →

Application worksheet

Application to hold a special on-water event in Otago

Otago Regional Council - ECO Fund

This worksheet mirrors the questions on the funder's official application form. It is NOT the official form. Submit your final answers through https://www.orc.govt.nz/environment/enhancing-and-protecting/grants-and-funding/eco-fund/.

1. Club or Organisation Information

Name of Club or Organisation:*

Address of Club or Organisation:*

Name of Secretary of Responsible Officer:*

Phone nr. (business):*

Email contact:*

2. Event Details

Event Title:*

Description of event:*

Date of event:*

Postponement date:

Event START time:*

Planned event START time (on- water):*

Planned event FINISH time (on-water):*

Does this event require a speed restriction or speed uplift?*

Yes, restriction:
Yes, uplift:
No:

Does this event require a temporary area closure or reservation?*

Yes, closure:
Yes, reservation:
No:

3. Controller of on-water activities

Name of Controller of on-water activities:*

Phone nr.:*

Email:*

4. Safety Arrangements

Details of safety arrangements planned by Club/Organisation:*

Please attach your Safety Plan and Risk Register.

5. Radio Communications

Radio communications to be used (VHF, UHF, Mobile phone):*

Channel/Frequency (default = 8):*

Base call sign:*

Select one.

Base phone nr.:*

On-water call sign(s):*

Select one.

6. Additional Information

Attach any other relevant information with your application:*

i.e., Details of any speed restriction/uplift, temporary area closure/reservation, and how it will be notified.

Attached

Documents to attach

  • Safety Plan
  • Risk Register
  • Details of any speed restriction/uplift, temporary area closure/reservation, and how it will be notified

Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.