Funding application form

Introduction

This application form is for Award Centres and Project Delivery Partners of The Duke of Edinburgh's International Award - Australia who are seeking financial assistance for individuals or groups of young people - who are marginalised, disadvantaged and/or living with a disability - to do their Award.

Funding sought can be applied to costs such as Award registration, activity expenses (including Adventurous Journey costs) and staff support/administration.

What type of funding are you seeking?

Disadvantaged YouthAwards Victoria Foundation

1. Online Record Book (ORB) and Organisation details

1.1 Are you an existing Award Centre?

YesNo

1.1.1 Do you intend to be licenced only if you are successful with this project funding?

Yes

No

1.2 Name of Award Centre

Please enter the full Award Centre name as it appears in the Online Record Book.

1.2.1 Award Centre ID (from ORB)

Award Leaders can see this 4-5 digit number in the Overview section, under Organisation Details.

1.3 Division / Award Operating Authority (AOA)

1.4 Australian Business Number (ABN)

Use this website to find your ABN (https://abr.business.gov.au/). Please DO NOT select "Department of Education".

2. Postal Address

Award Centre postal address

i.e. Number, street and suburb

State/Territory

Post code

3. Postal Address v Physical Address

3.1 Is 'postal address' different from 'physical address'?

Yes

Award Centre physical address

i.e. Number, street and suburb

State/Territory

Post code

Award Centre contacts

4. Award Leader details

Award Leader first name

Award Leader last name

Role Title

Award Leader email

Telephone (daytime/office number)

5. Authorised Signatory

Note: the Authorised Signatory is the person that can sign on behalf of the applying organisation (e.g. Principal). This person's name will appear on the Terms and Conditions document.

Authorised Signatory first name

Authorised Signatory last name

Role Title

Authorised Signatory email

Application details

6. Describe needs and benefits

6.1 Briefly describe why financial support is required for the applicant(s) and how the funding will be used.

e.g. family experiencing financial hardship, low SES area in a remote community, etc.

6.2 How will youth in your organisation benefit from doing the Award?

7. Other programs

7.1 Does your organisation deliver any other programs to disadvantaged youth?

YesNoe.g. high needs or special needs programs

7.1.1 You answered 'Yes'. What other programs does your organisation deliver to disadvantaged youth?

Please provide a summary only.

7.1.2 Which of these other programs also include the Duke of Ed?

Pre-approval application

Please note:
All Participants will need to be registered online through the Online Record Book. The Participants' registrations will be checked in the ORB prior to the release of any funds, should this application be successful.

Please complete the questions below for your funding application.

Target Participants

Please note:

Participants aged 18 and over must have a disability in order to be successful for funding.

Please note:

Participants aged 13 must be in Year 9 in order to be successful for funding.

8.3 How many Participants are in this application at each Level? (numerals only)

	Bronze	Silver	Gold
Participants at each Level

8.4 Do you intend to collect evidence of financial hardship?

YesNoe.g. School Card/Centrelink/Other

8.5 Criteria section A

8.5.1 Will your application include young people living with a physical and/or intellectual disability?

Yes, physical disabilityYes, intellectual disability

8.5.2 Will your application include young people who identify as Indigenous (Aboriginal and/or Torres Strait Islander)?

YesNo

8.5.3 Which of the following apply to this group of young people? (please tick all boxes that apply)

In a rural, regional or remote community (isolation)From a refugee backgroundLearning difficultiesSocial and behavioural problems, and is disengaged from their communityIn custodial care/engaged in the juvenile justice system

8.5.4 You selected 'In a rural, regional or remote community (isolation)'. Please identify which one of these apply.

8.6 Criteria section B

Regarding the options below, please note that 'CALD or ethnic minority' may encompass people:

of non-English speaking background
born outside of Australia
whose first language is not English
with certain religious affiliations

See ABS Standards for Statistics on Cultural and Language Diversity for more details.

8.6.1 Which of the following apply to this group of young people? (please tick all boxes that apply)

From low socio-economic circumstancesCALD or ethnic minorityExperiencing domestic violenceExperiencing homelessness, housing insecurity or povertySubstance abuseTeenage pregnancy/mumYoung carer for siblings or parentsExperiencing family breakdown

8.7 Will your application include young people who experience any mental health challenges?

YesNo

Final page

14. In-kind support

Please specify any substantial in-kind support that will be provided by your organisation to support your Award Participants.

15. Key Project Timeline

Outline your proposed key activity timetable below.

15.1 What date do you estimate first activities will commence?

15.2 What date do you estimate Award registrations will commence?

15.3 What date do you estimate the Adventurous Journey will first take place?

15.4 What date do you estimate Awards will be completed?

16. Checklist

Please ensure you have read all the information on our Funding Assistance webpage before submitting this application.

16.1 Complete this section before submitting your application.

I have read the Funding Guidelines and understand I will be required to sign an agreement with the National Award office if funding is approvedI understand this application will be reviewed by my Division's office prior to final approval from the National Award officeI understand I may be required to provide evidence on the eligibility of Participants receiving this funding I understand that all Participants must be registered with the Award through the Online Record Book (ORB) before funding is paidI understand that unused funds must be returned within 60 days to the National Award Operator I understand that Participant completions must be reported to the National Award office and must have a 50% completion rate to be considered for any future fundingI have attached a supporting statement from the school's Principal / organisation's Managing DirectorPlease note: the supporting statement need only be brief.

16.1.1 Upload your supporting statement here

17. Statement of agreement

I hereby state that all the information provided on this application is true and accurate.
I understand that if successful, the funding provided applies for the Award Level for which it was approved and I agree to inform the NAO of any changes to these circumstances immediately.
On behalf of our school/university/organisation and the Participant(s), I offer a declaration of commitment to the Award and its requirements.
In submitting this application, I confirm that I or the authorising signatory has the authority/delegation to make this submission and ensure the requirements are met.

Do you agree?

I Agree