Learning, Employment and Participation (LEAP) Grants 2023-24 Financial Year Survey

Question Title

* Applicant Contact Details

Name

Address

Email Address

Phone Number

Question Title

* Who are you applying for? (Select One)

I am applying for myself.

I am applying on behalf of another member (18+) of my household

I am a parent / guardian applying on behalf of a dependent /child (under 18) in my household

Question Title

* If applying for someone else, please complete:

Household member's name:

Dependent's age (if under 18)

Question Title

* BEFORE YOU START YOUR APPLICATION
Please read and respond to the following:

Have you previously been successful for a BHC Impact Grant round?*
Including Connect, Educate and Participate, and Kickstart Grants
(if yes, when? Please include date and grant type):

Yes (Specify type and date below)

	Yes	No
This grant can provide up to $800 support to purchase requested item/activity/course. If the total cost of the item/activity/course you are applying for exceeds $800 do you confirm that you can cover any additional costs?	This grant can provide up to $800 support to purchase requested item/activity/course. If the total cost of the item/activity/course you are applying for exceeds $800 do you confirm that you can cover any additional costs? Yes	This grant can provide up to $800 support to purchase requested item/activity/course. If the total cost of the item/activity/course you are applying for exceeds $800 do you confirm that you can cover any additional costs? No
Do you have a quote/invoice for the item you wish to apply for?	Do you have a quote/invoice for the item you wish to apply for? Yes	Do you have a quote/invoice for the item you wish to apply for? No
Have you ensured that the cost of the item/activity/course remains the same eight weeks after the grant close date? (e.g. if item is on sale, BHC may not be able to match this price if the sale ends after application and grant assessment)	Have you ensured that the cost of the item/activity/course remains the same eight weeks after the grant close date? (e.g. if item is on sale, BHC may not be able to match this price if the sale ends after application and grant assessment) Yes	Have you ensured that the cost of the item/activity/course remains the same eight weeks after the grant close date? (e.g. if item is on sale, BHC may not be able to match this price if the sale ends after application and grant assessment) No
Applicants will be advised of the outcome of their application within 8 weeks of the grant CLOSING. If your application is time sensitive please contact the BHC Community Development Team on 3307 3000 or email impact@bhcl.com.au	Applicants will be advised of the outcome of their application within 8 weeks of the grant CLOSING. If your application is time sensitive please contact the BHC Community Development Team on 3307 3000 or email impact@bhcl.com.au Yes	Applicants will be advised of the outcome of their application within 8 weeks of the grant CLOSING. If your application is time sensitive please contact the BHC Community Development Team on 3307 3000 or email impact@bhcl.com.au No
Do you acknowledge the following to be eligible: • No cash payments will be made to successful applications, direct payments will be made to suppliers / retailers on behalf of successful applicants. • All questions must be completed for applications to be considered. • If in arrears or owing money to BHC, applicant must be engaged in a current payment plan and be making the required repayments. • Each resident can only be successful once each financial year • Applications must be for a specific activity or item that will improve the resident's learning, employment or participation outcomes, including digital connection.	Do you acknowledge the following to be eligible: • No cash payments will be made to successful applications, direct payments will be made to suppliers / retailers on behalf of successful applicants. • All questions must be completed for applications to be considered. • If in arrears or owing money to BHC, applicant must be engaged in a current payment plan and be making the required repayments. • Each resident can only be successful once each financial year • Applications must be for a specific activity or item that will improve the resident's learning, employment or participation outcomes, including digital connection. Yes	Do you acknowledge the following to be eligible: • No cash payments will be made to successful applications, direct payments will be made to suppliers / retailers on behalf of successful applicants. • All questions must be completed for applications to be considered. • If in arrears or owing money to BHC, applicant must be engaged in a current payment plan and be making the required repayments. • Each resident can only be successful once each financial year • Applications must be for a specific activity or item that will improve the resident's learning, employment or participation outcomes, including digital connection. No

Yes

This grant can provide up to $800 support to purchase requested item/activity/course. If the
total cost of the item/activity/course you are applying for exceeds $800 do you confirm that
you can cover any additional costs?

Do you have a quote/invoice for the item you wish to apply for?

Do you have a quote/invoice for the item you wish to apply for? Yes

Do you have a quote/invoice for the item you wish to apply for? No

Have you ensured that the cost of the item/activity/course remains the same eight weeks after
the grant close date? (e.g. if item is on sale, BHC may not be able to match this price if the
sale ends after application and grant assessment)

Applicants will be advised of the outcome of their application within 8 weeks of the grant
CLOSING. If your application is time sensitive please contact the BHC Community Development Team on 3307 3000 or email impact@bhcl.com.au

Do you acknowledge the following to be eligible:
• No cash payments will be made to successful applications, direct payments will be
made to suppliers / retailers on behalf of successful applicants.
• All questions must be completed for applications to be considered.
• If in arrears or owing money to BHC, applicant must be engaged in a current payment
plan and be making the required repayments.
• Each resident can only be successful once each financial year
• Applications must be for a specific activity or item that will improve the resident's learning, employment or participation outcomes, including digital connection.

Learning, Employment and Participation (LEAP) Grants 2023-24 Financial Year

Section 1: Applicant Contact Details

Question Title

* Applicant Contact Details

Question Title

* Who are you applying for? (Select One)

Question Title

* If applying for someone else, please complete:

Question Title

* BEFORE YOU START YOUR APPLICATION
Please read and respond to the following:

Have you previously been successful for a BHC Impact Grant round?*
Including Connect, Educate and Participate, and Kickstart Grants
(if yes, when? Please include date and grant type):

Question Title

* Please confirm the following:

Learning, Employment and Participation (LEAP) Grants 2023-24 Financial Year

Section 1: Applicant Contact Details

Question Title

* Applicant Contact Details

Question Title

* Who are you applying for? (Select One)

Question Title

* If applying for someone else, please complete:

Question Title

* BEFORE YOU START YOUR APPLICATIONPlease read and respond to the following:Have you previously been successful for a BHC Impact Grant round?*Including Connect, Educate and Participate, and Kickstart Grants(if yes, when? Please include date and grant type):

Question Title

* Please confirm the following:

* BEFORE YOU START YOUR APPLICATION
Please read and respond to the following:

Have you previously been successful for a BHC Impact Grant round?*
Including Connect, Educate and Participate, and Kickstart Grants
(if yes, when? Please include date and grant type):