Living Ripples Student Wellbeing Action Grants Application Form

About your school
School Name*
School Contact*

First NameLast Name
Contact Email*
How did you learn about the Student Wellbeing Action Grant?*

Living Ripples websiteAnother schoolResilience Youth AustraliaSwitch4SchoolsChampion LifeOther
Let’s check your eligibility!

Our school has successfully completed our annual Living Ripples Resilience Survey for studentsOur application is directly linked to our Student Wellbeing Action Plan

Tell us about your resilience and wellbeing priority and the program or project your school is seeking support to implement
Name of the program*
Please add the relevant one page Action Plan to support your application from the SWAP process.*

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Please add the relevant section of your school improvement plan/ documentation that confirms the school-wide wellbeing focus.

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Who are the main beneficiaries of the program or service?(Please specify year level(s), age group(s), target group(s), and number of students involved - for example: Years 3–6, ages 8–12, student leaders, approx. 120 students.)*
How will this program help address the identified wellbeing priority from the survey and action plan process?*
Are there other costs directly associated with this program/ service/ delivery? No capital works will be granted.
What is the total cost of the program or service (excl. GST)?*
What is the amount sought (excl. GST) from the Student Wellbeing Action Grant program?*
When would you like your program or service to commence?*

MonthDayYear
Date

Do you require an external provider to support your program, project or service? *
Have you chosen a program provider?
For a list of Living Ripples approved providers, visit our website.
Tell us about your proposed provider/ program or service
Provider/Program Service Name
Program Name
If further detail is required
Website

Student Wellbeing Action Grant Application