Funding Application Form

Funding Details

Please note whether your application falls under the following:

 

Award Financial Assistance (for individual Participants - applications made by Award Leaders)

 

or 

 

Disadvantaged Youth Project Funding (for groups (2+) from Award Units/Project Delivery Partners).

Award Unit Details

Award Unit's Name
Award Unit's Address
Award Units Postcode
ABN of Award Unit
If yes, how many years have you run the Duke of Ed? If no, do you intend on becoming licenced if you are successful with this funding?
Type of Award Unit
  • Large Award Unit (>50 Participants)
  • Standard Award Unit (<50 Participants)
  • Remote and Regional Award Unit
  • Award Unit with Indigenous Participants
  • Funded Award Unit (previously received funding from the Duke of Ed)
  • Open Award Centre

Award Leader Details

Email*
Confirm Email*
Phone*

Participant Details

Name(s) of Participant/s
Number of Participants
Age Group(s) of Participant/s
  • 14-15
  • 16-18
  • 19-25

Participant Award Level/s

Please indicate the number of Participants registered to complete each Award level below. (If a field does not apply, please type 0)

Bronze
Silver
Gold

Participant Circumstances

Please select all relevant circumstances of Participants applying for funding.

(Each Participant must meet at least 2 criterion)

Circumstances
  • Low-income
  • Homelessness
  • Health
  • Social and behavioral challenges
  • Isolation
  • Substance abuse
  • Family breakdown
  • Domestic Violence
  • Mental health issues
  • Carer for younger sibling or parents
  • Teenage pregnancy/mums
  • Engaged in the juvenile justice systems
  • Indigenous
  • Low SES background
  • Disabled (as per the Disability Discrimination act (1992)

Funding Breakdown

For this Section: Question 1 is to be completed by Individual Applicants, Question 2 for Group Applicants and ALL Applicants are to complete Question 3.

1. INDIVIDUAL ONLY

(Group Applicants continue to Question 2)

 

a) Registration Subsidy ($ amount, select one only)

i. Basic Level Registration Support - $30 per youth

ii. Mid-level Registration Support - $75 per youth

iii. High Level Registration Support - Cannot exceed the registration fee set by the Local Offices 

 

*Assistance amounts to include GST

Basic Level Registration Support
Mid Level Registration Support
High Level Registration Support

b) Adventurous Journey & Award Activities Assistance ($ amount, select one only)

i. Basic Level Activity Assistance - $100.00 per youth

ii. Mid-level Activity Assistance - $200.00 per youth

iii. High Level Activity Assistance - Other, please outline in Q3 FUNDING BREAKDOWN why this amount is required

 

*Assistance amounts to include GST

Basic Level Activity Assistance
Mid-Level Activity Assistance
High Level Activity Assistance

c) Please note the total individual funding amount request

 

Individual TOTAL $

2. GROUP ONLY

 

a) Please note the number of Participants that fall under each category of funding:

i. Registration Subsidy - Subsidises Registration Costs (Cannot exceed the Registration Fees set by Local Offices)

ii. Award Activity Assistance - Assists applicants' Award activities or Adventurous Journey expenses such as external providers or equipment hire (Up to $500)

iii. Resource Support - Assists applicants with high needs (eg. intellectual or physical disability) that require supplementary staff support or carers to deliver the Award (Up to $3,000)

 

*Assistance amounts to include GST

Registration Subsidy
Award Activity Assistance
Resource Support

b) Please note the $ amount requested that fall under each category of funding:

i. Registration Subsidy - Subsidises Registration Costs (Cannot exceed the Registration Fees set by Local Offices)

ii. Award Activity Assistance - Assists applicants' Award activities or Adventurous Journey expenses such as external providers or equipment hire (Up to $500)

iii. Resource Support - Assists applicants with high needs (eg. intellectual or physical disability) that require supplementary staff support or carers to deliver the Award (Up to $3,000)

 

*Assistance amounts to include GST

Registration Subsidy ($ amount)
Award Activity Assistance ($ amount)
Resource Support ($ amount)

c) Please note the total group funding amount requested

Group TOTAL $

3. ALL TO COMPLETE - Itemise the breakdown of how this funding will be spent:

 

(Individual and Group Applicants are required to complete this section)

 

Example of itemised Breakdown of Funding:

Registration Subsidy @ $100 x 8 Participants = $800

Soccer Training Financial Assistance for Physical Recreation @ $100 x 8 Participants = $800

Guitar Lessons Financial Assistance for Skill @ $100 x 8 Participants = $800

TOTAL = $2,400

Proposed itemised breakdown of expenses

Group Applications Further Details

This section relates to Group Applications only. Individual Applicants can continue to PAYMENT DETAILS.

Name of Project
Why is it important to have this funding and how will youth in your organisation benefit from doing the Award?
How many new Participant registrations are you applying for?
Please outline your Award Units’ intended activity timeline with Month/Year
Please specify any substantial in-kind support that will be provided by your organisation to support your Award Participants.

Payment Details

Please provide payment details of the Award Unit applying for funds.

Bank Account Name
Bank Acc Number
BSB Number

Checklist and Statement of Agreement

Please ensure you have read all information at www.dukeofed.com.au/resources/funding-assistance  before submitting your funding assistance application

Check List
  • I have read the Funding Guidelines
  • I have read the Sample Terms and Conditions
  • I understand that I should discuss this application with my local State or Territory office prior to submitting this form
  • I understand that any unutilised funds must be returned
  • I understand that I may be required to provide proof of registration via ORB registration

Statement of Agreement

  • I hereby state that all of the information provided on the application is true and accurate.

 

  • I understand that if successful, the funding provided applies for the Award level for which it was approved.

 

  • I agree to inform the Award of any changes to these circumstances immediately.

 

On behalf of our organisation and the Participant(s), I offer a declaration of commitment to the Award program(s) and its requirements. 

In submitting this application I confirm that I or the following senior officer has the authority/delegation to make this submission and ensure the requirements are met.

Consent*
  • I Agree
Additional Comments

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