Variety School Breakfast Club

This is a preview of the Variety Breakfast Club: Application form. When you’re ready to apply, click Fill Out Now to begin.

APPLICANT DETAILS

* indicates a required field.

Please read Variety School Breakfast Guidelines for eligibility criteria and other helpful information.

Have you read the Variety Breakfast Club Expression of Interest Guidelines? *

Response required.Response required.

Yes

School or Organisation Name *

Contact person *

First name

Last name

Address *

Phone Number *

Email *

Provide a brief description of your school *

Include details such as geographic location, financial situation, general information, etc).

Number of fulltime students enrolled in your school *

Must be a number. Must be a number

Total number of children with special needs *

Must be a number

Number of children enrolled into LiL Program *

Must be a number

Number of children catered for between the ages of 6 to 11 years *

Must be a number

Number of children catered for between the ages of 12 to 18 years *

Must be a number

Percentage of students who would benefit from a School Breakfast Club (approximate)

Must be a number

Would your school/organisation contribute financially or in-kind. If yes, how much? *

Must be a dollar amount. Must be a dollar amount. If no please put $0

Are any children of Aboriginal or Torres Strait Islander origin?

Yes

If yes, how many?

Must be a number. Must be a number

What is your School's ICSEA Score?

Does your school currently run a Breakfast Club?

If you answered yes to the previous question, how many days a week do you have the Breakfast Club on?

Must be a number.