Ready for Work Funding Applications

SECTION 1: Tell us about you

Full Name

Date of Birth

Address

Contact Phone Number

Email

Facebook Messenger? Facebook Messenger? Yes

Facebook profile Handle?

Other Form of Contact?

Preferred Contact Method? Preferred Contact Method?EmailPhone CallSMS (text Message)Facebook Messenger

SECTION 2: Tells us what type of support you need

Select the Support Need/s Which Apply to You Select the Support Need/s Which Apply to You Support with job search and interview costs (e.g Driving lessons/testing) If you ticked this, please go to section 3 Support with job placement costs (e.g Tools, clothing, drug testing, etc) If you ticked this, please go to section 4 Support with a promotion/leadership cost (e.g Work related training, leadership training, etc) If you ticked this, please go to section 5

SECTION 3: Job search/interview costs

Tell us the associated costs:

Item #1 and Purpose

Item #1 Cost ($)

Item #2 and Purpose

Item #2 Cost ($)

Item #3 and Purpose

Item #3 Cost ($)

Total Associated Costs ($)

If you have an interview, tell us about the job:

Business Name

Employers Name

Business Address

Phone Number

Email

Position

Industry

SECTION 4: Support with job placement costs

Congratulations on the job, tell us about it!

Business Name

Employers Name

Business Address

Phone Number

Email

Position

Industry

Tell us the associated costs:

Item #1 and Purpose

Item #1 Cost ($)

Item #2 and Purpose

Item #2 Cost ($)

Item #3 and Purpose

Item #3 Cost ($)

Total Associated Costs ($)

SECTION 5: Support with job promotion or leadership costs

Congratulations on your promotion/upskilling opportunity, tell us about it!

Business Name

Employers Name

Phone Number

Business Address

Industry

Email

Current Position

New position/promotion/upskilling opportunity

Tell us the associated costs:

Item #1 and Purpose

Item #1 Cost ($)

Item #2 and Purpose

Item #2 Cost ($)

Item #3 and Purpose

Item #3 Cost ($)

Total Associated Costs

SECTION 6: Total of all costs (fill out what applies to you)

Section 3 Total Costs ($)

Section 4 Total Costs ($)

Section 5 Total Costs ($)

Total Cost of all required Support/Items/Resources ($)

Privacy Statement

- The information I have provided is true and complete

- I understand what you do with my personal information and how you protect my privacy

- This fund will go towards the items I have stated nothing else

Applicants Name

Date

Applicant Signature Applicant Signature By ticking this box you are signing off on all information submitted in this form