Apply for support - The Kids Matters Community Foundation

Application for support

The Kids Matters Community Foundation seeks to support the children of low income families by providing guidance, parent education and funding for specialist supports including assessments, parent consultations and the Circle of Security Parenting Program.

To be eligible for funding, applicants must meet the below criteria:

1. A child or adolescent in need of relevant specialist assessments to enable them to access essential paediatric therapy due to a disability and/or a diagnosed chronic medical condition.

2. The parent, guardian or primary caregiver/s of the person described in (1) are financially disadvantaged/ in the low-income category and do not have access to government funding to meet the needs of their child.

EVIDENCE OF FINANCIAL HARDSHIP

We require all applicants to provide documentary evidence to support their application. Such evidence could be a copy of a recent Centrelink Income and Asset Statement or Health Care Card.

REFERENCES TO SUPPORT APPLICATION

Each application requires two (2) independent written references to confirm their current circumstances and highlights the benefits the proposed financial assistance would provide. Eligible referees can include: GP or other health professional, teachers or early childhood educators or other community support services, Indigenous organisation, public or community housing organisation or similar.

Application Form

Name of child

First

Last

Child's date of birth (ddmmyyyy):

Name of parent/ guardian

First

Last

Relationship to child:

Phone:

Please tick yes to show you understand the information below.

I understand that participation may include photographs and video/ audio recordings. Sessions will be age-appropriate, respectful and strengths-based, conducted in a safe environment, and supervised by appropriate adults. I understand there is no payment for participation.

I give permission for TKMCF to use the approved images/videos:

Images and videos may be used for TKMCF website, social media platforms, fundraising campaigns, printed promotional materials (flyers, posters, brochures), event presentations, annual reports or impact reports, or media publications (e.g. newspapers, online features).

Important information (read below)

By signing this form, I confirm that: - Participation is voluntary and will not affect my child’s therapy services at Kids Matters Occupational Therapy. - I may withdraw consent at any time by notifying TKMCF in writing. - I understand that while TKMCF will remove content upon withdrawal where possible, previously published materials (e.g. printed brochures or shared media) may not be fully retractable. - TKMCF will use all images respectfully and in alignment with its mission to support children and families. - Images will not be sold to third parties.

this TKMCF yes

Child's consent

I have discussed this with my child and they are happy to participate.
My child understands they can say “stop” at any time.

I am the parent/legal guardian of the child named above and provide informed consent for participation and media use as selected in this form.

First

Last

Today's date (ddmmyyyy)

Please note: As a charity, and due to the current economic climate, funds are limited and not all applicants will be successful.

Applications will be presented to the Foundation board (once all documentation is received) and considered on a monthly basis. Applicants will be notified of the outcome as soon as possible.