Page 1 - Inclusion Support Grants 2022-23

* indicates a required field.

Applicant details (Not Applicable)

Name *

First name	Last name

School attended *

Current Year Level *

Age *

Response required.

5-8 years

9-12 years

12-16 years

16-18 years

Clear the selected value for Age

Parent/Guardian details (Not Applicable)

Parent/Guardian *

Title	First name	Last name

Home Address *

Return to address search

Address line 1

Address line 2

Suburb/Town	State/Province	Postcode

Country

Postal Address *

Return to address search

Address line 1

Address line 2

Suburb/Town	State/Province	Postcode

Country

Phone Number *

If using a landline number please include the area code (03)

Email *

Mobile Phone Number

Parent / Guardian Consent form - the blank form can be found below

Attach a file:

Parent/Guardian Consent form

Does the applicant live in the City of Melbourne? If you are unsure see the City of Melbourne boundary map below *

Response required.

Yes

Clear the selected value for Does the applicant live in the City of Melbourne? If you are unsure see the City of Melbourne boundary map below

You will be required to provide evidence that you are a resident of the City of Melbourne municipality

City of Melbourne Boundary Map

In what country was the applicant born in? *

Does the applicant have a disability? *

Response required.

Yes

Clear the selected value for Does the applicant have a disability?

What sport/activity will the applicant participate in? *

What is the name of the sports club/group the applicant wants to join? *

Has the applicant ever registered with a club before?

Yes

Clear the selected value for Has the applicant ever registered with a club before?

This section is not applicable because of your response to question: "Has the applicant ever registered with a club before?" on page 1

Which club/clubs has the applicant been registered with in the past?

Inclusion Support Grants 2022-23

Form Navigation

Applicant Details

Applicant details (Not Applicable)

Parent/Guardian details (Not Applicable)

Grants Information:

Technical Assistance:

Additional Information: