To run Silver Salties at your club please complete this application form. 

Silver Salties is currently in the pilot period (November 2019 – June 2020). Clubs that run Silver Salties programs during the pilot period will be able to access subsidies for participants aged over 65 who complete a program - full details of subsidies will be provided as part of the on-boarding process.

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* 1. Club Name

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* 3. Club Website URL

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* 4. Primary Contact Name

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* 5. Primary Contact Mobile Number

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* 6. Primary Contact Email

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* 7. Secondary Contact Name

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* 8. Secondary Contact Mobile Number

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* 9. Secondary Contact Email

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* 10. Programs

Please select all the programs your club is interested in running - Click Here for a summary of available programs.

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* 11. Program Start Date - please provide an indication of when the club would intend on commencing one or more Silver Salties Programs.

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* 12. In addition to the subsidies for participants over the age of 65, pilot clubs can access a $500 seed grant for delivering at least one Silver Salties program during the pilot program period. For our research purposes only, how would you intend to use the seed grant funding at this stage?

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* 13. Comments/Additional Details

Thank you for your interest in delivering Silver Salties. You are contributing to SLSA’s vision to save lives, create great Australians and build better communities. We will be in contact shortly to get your club set up to deliver Silver Salties. For further information about Silver Salties please contact SLSA Participation Manager: jpalmer@slsa.asn.au
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