Grant Application Form

Individual Child

Applications for funding individual children will be considered for a wide variety of activities including music, art, sport, cultural activities and experiences etc, camps, personal development (i.e. art therapy). Funding is limited to $1500 per child over a 12 month period. ($3500 per family).
Child/Children’s information for whom funds are being sought*
Child’s Name Child's Date of Birth
Name of person completing Grant Application?
Name Organisation making this Grant Application?*
Does the child identify as Aboriginal or Torres Strait Islander?
Please list any disability or condition that is relevant to this application?
Phone Number of Organisation / Applicant:*
Email of Organisation / Applicant:*
Mailing Address of Organisation or Person Applying:*
Postal/Street Address Suburb / City State Post Code
Type of funds request*
- Artistic (including art, film & literature)
- Music
- Drama
- Dance
- Sport
- Education
- Other
Other - please specify
Date / term/s funding required:
Description of the proposed activity?
Why is an AKC grant required?*
How will an AKC Grant benefit the child? (social, personal, skills development, broadening horizons, new experiences?*
Activity Provider details including (name of school / teacher):*
Phone number of Activity Provider:
Amount of funding being requested?*
If you are a parent or carer applying for a grant please provide a brief supporting statement from a recognised professional currently working with your child:
Please provide bank account details of activity provider:*
Account Name BSB Account Number
Additional Files
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Child’s Name	Child's Date of Birth