On-Farm Post-Cyclone Recovery Contribution

Let's grab some details to get your action on the record
This form should be super simple and take no more than five minutes.

Remember, you own the data that you record on the East Coast Exchange and any data that will be publicly displayed will have a 'Public' label below the field.
This action is being taken by:

IndividualOrganisation / Group
Organisation
Public
Contact person*

Public
Email*
Phone number*
Are you doing this form for someone else?

YesNo
Record your name

First NameLast Name
Record your phone number
Yes, I have their consent to record this information`

YesNo - please get their consent before continuing

Tell us about the action you've taken
What recovery action post-cyclone have you taken?
If you have done multiple, complete a form for each so you can access relevant funding pools
Describe what you did
Public
Tell us when this action took place
When did you start this action?

MonthDayYear
Public
When did you finish?

MonthDayYear
Farm name
If relevant
Location of this action
Was this contribution made on / for Whenua Māori?

YesNoI don't know
Location of this action
Total hours of work

Let's capture some quick info so we can verify this
Your points are only earned or donated if your actions can be verified so please supply high-quality evidence below
Upload photos of you taking this action

Please ensure location services are turned on when taking the photo so the location can be verified.
Cancelof
Upload any other relevant info e.g. invoices

Cancelof
Record the name of someone who can verify your actions

First NameLast Name
Record their phone number

How you like this to show up in the Contributions Record?
I would like to

Earn Action Points that could be eligible for Programme funding.Donate any Action Points I get back to the community effort.
How you price your action in Action Points is totally up to you!
Remember 1 point = 1 NZD but funding isn't guaranteed.

You may want to think about:
- How how much it cost you to take this action in terms of time / equipment / supplies
- The impact you are creating and how that should be valued
- That work already funded by other funding orgs can't also earn Contribution Points e.g. if $25K of work was done, and $10K of funding has already been recieved, only 15K of points can be earned and access funding via the ECX.
How much did this cost in labour and materials?
Public. Just estimate if you don't know this exactly
How many Action Points do you want to earn/donate?
Public. Edit this to any value you like.
Optional: Record any notes about how your arrived at these Action Point values

I have read and agreed to the Exchange Rules.I understand that this is not an offer of employment. I am volunteering my time and I do not expect to receive a reward in return.I understand there is no guarantee that I will receive any Programme funds at any time or that my donated points will be funded.
View the East Coast Exchange rules here.
Should be Empty:

Let's grab some details to get your action on the record