Access Request Form for Spring Valley Farm

The below information must be provided and submitted with all supporting documentation.

Primary Contact details

First name

Surname

51�Թ�� ID (if applicable)

Phone number (preferably mobile)

Supervisor/ANU Contact (Alternative contact)

51�Թ��/school/college/organisation

Activity/Access information

What activities will you be undertaking at the Farm? Please provide detailed description of activites and what they entail. (Attach additional documents if required.)

Describe your activities in 500 words or less using non-technical terms

Has a risk assessment of the activities that you will be undertaking be conducted? Please attach.

Describe that a risk assessment has been undertaken

How often will access be required?

Advise how often will access will be required

What area(s) of the farm will you require access to? Please attach google map image if required

Provide details what area(s) of the farm require access to e.g. South West Paddock

Do you require access to facilities. If so what facilities? Please select one or multiple

How many people will be attending the farm with you? i.e member/s of the public/external organisations

Please provide details

Do you require afterhours access to the farm (e.g. weekends) for your activities

Please provide details.

Attachment

Upload relevant documentation that may assist in reviewing your Activity/Access request. If your file is too large to upload, please use and copy and paste the link in the text details field against the appropriate question requiring attachment/s.

Description of activity/access

One file only.
2 MB limit.
Allowed types: jpg, jpeg, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Risk assessment

One file only.
2 MB limit.
Allowed types: jpg, jpeg, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Access area/s map

One file only.
2 MB limit.
Allowed types: jpg, jpeg, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

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Access Request Form for Spring Valley Farm

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