CEW01 - Request to Undertake Environmental Activity on City Managed Natural Areas Applicant Details Community Group Name*This field is required. * Required Field. Contact Person*This field is required. * Required Field. Postal Address*This field is required. * Required Field. Telephone Number*This field is required. * Required Field. Alternate Contact Number Email Address*This field is required. * Required Field.* Please enter a valid email address. Project/Activity Details Provide a summary of your proposed project/activity and what you want to achieve, include project objectives; Please attach a map (including a legend) of the proposed work area, you can attach your map at the end of your application before submitting. Please Note You can use IntraMaps Public, which is available on the City's website to create your map. Project Budget Details How will you fund your project/activity? What contribution is expected from the City? Please attach your work plan/budget (if applicable), you can attach your work plan/budget at the end of your application before submitting. Aboriginal Heritage Details Does your project fall within a Aboriginal Heritage area? YesNo Provide details on how you will manage Aboriginal Heritage, if applicable; Please Note For information on Aboriginal sites, other heritage places and Aboriginal Heritage Surveys is available, via the Aboriginal Heritage Inquiry System (AHIS). Event Details and Permission Are you planning on holding an event or activity at a council venue? YesNo Do you have permission from the Council for the event/activity? YesNo Please Note For useful information/documentation for planning an event, please refer to the City's website; Planning an event; Event Forms and Resources (including Applications Forms, Event Information and Templates); Community Funding Programs; and City funding portal - CGG Smarty Grant Applications. Volunteers and Insurance Do you plan to have volunteers at your event? YesNo Do you have volunteer insurance? YesNo Please provide insurance details (if covered under another group or a national event, e,g, Clean-Up Australia Day) - please provide details; Please attach a copy of your insurance (if applicable), you can attach a copy of your insurance at the end of your application before submitting. File Upload I will attach my supporting documentation via the File Upload option. Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx I will supply my supporting documentation via a Downloadable Link. I have agreed to submit this application by electronic means. I can confirm that the information given in this application is true, complete and accurate. By checking this box and typing my name below, I am electronically signing my application.*This field is required. Please tick here Signature*This field is required. * Required Field. The City of Greater Geraldton collects the personal information you provide in relation to the Request to Undertake Environmental Activity on City Managed Natural Areas form so we can deliver the service, process your request, and meet our legal obligations under the Local Government Act 1995 and any other related legislation. Your information may be shared with government agencies, contractors, or others where authorised by law or with your consent. Where required by law, your personal information will be made publicly available, e.g. public registers. The City manages personal information in accordance with relevant privacy legislation and takes reasonable steps to protect it from unauthorised access or disclosure. You may request access to, or correction of, your personal information by contacting the City at pris@cgg.wa.gov.au. Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image Was this page helpful? How can we improve this page? Email Address*This field is required. * Required Field.* Please enter a valid Email Address Type the code from the image: Do not fill this textbox.