Apply For Grant

Which grant are you applying for?*

Health & Wellness
Personal Development
Dental - QLD Health
Dental - Private

Please scroll down to complete the grant application form

Health and Wellness Grant

Apply Online - Health & Wellness Grant

Download Health & Wellness Grant Application

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Personal Development Grant

Apply Online - Personal Development Grant

Download Personal Development Grant Application

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Dental - QLD Health Grant

Apply Online - Dental - QLD Health Grant

Download Dental - QLD Health Grant Application

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Dental - Private Grant

Apply Online - Dental - Private Grant

Download Dental - Private Grant Application

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Have You Registered?

Have you registered with Forde Foundation?*

Yes
No

Register

Personal Details

* means field must be completed

Title

First Name*

Last Name*

Date of Birth*

Age

Gender you identify as

Address*

Suburb*

State

Postcode*

Country

Phone Number*

Email Address

If you are currently in prison what is your expected release date

The Forde Foundation may provide grant funding once you are released from prison.

Do you identify as

This information is used for demographic purposes only.

Are you a person with a disability?

This information is used for demographic purposes only.

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Personal Details - Dental QLD Health

Are you currently a patient at a public dental clinic?

Yes
No
Unsure

If you are currently a patient, which clinic?

Treatment Details - Dental

What treatment do you need?

What is the urgency for this treatment?

How will this treatment help you? (please tick one or more)

Advancing health - preventing and relieving sickness, disease or human suffering
Advancing social or public welfare - including relieving the poverty, distress or disadvantage of individuals or families, or caring for and supporting the aged; or individuals with disabilities.
Other benefit that may be regarded as comparative to, or within the spirit of, any of the purposes mentioned above - relieving the necessitous/needy circumstances of one or more individuals who are in Australia.

The definition of advancing includes protecting, maintaining, supporting, researching and improving.

Treatment Details - Health And Wellness

What treatment and / or items do you require and why?

What is the urgency for this treatment and/or item?

How will this treatment/item help you? (please tick one or more)

Advancing health - preventing and relieving sickness, disease or human suffering
Advancing social or public welfare - including relieving the poverty, distress or disadvantage of individuals or families, or caring for and supporting the aged; or individuals with disabilities.
Other benefit that may be regarded as comparative to, or within the spirit of, any of the purposes mentioned above - relieving the necessitous/needy circumstances of one or more individuals who are in Australia.

The definition of advancing includes protecting, maintaining, supporting, researching and improving.

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Medicare - Health and Wellness

Is this treatment / item partially covered by Medicare, your private health insurance or any other state/federal program or concession? e.g, My Aged Care, NDIS or the Qld government’s Community Care Services or Medical Aids Subsidy Scheme

Yes
No

If yes, what program/s and for what amounts?

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Personal Development - Course Details

I am applying for funding to cover the cost of:

Textbooks for a university course
Course fees for a TAFE course or short course
Computer
Other (please provide details)

Please provide details

Please explain WHY you need these items e.g, why are you undertaking course or why do you need a computer?

Name of Course

Course Provider

Course Start Date

Course Completion Date

If your request is for textbooks or other goods, what is the name of the provider/supplier?

Total Grant Amount Applied For

How will this course/training/item help you? (please tick one or more)

Advancing health - preventing and relieving sickness, disease or human suffering
Advancing social or public welfare - including relieving the poverty, distress or disadvantage of individuals or families, or caring for and supporting the aged; or individuals with disabilities.
Other benefit that may be regarded as comparative to, or within the spirit of, any of the purposes mentioned above - relieving the necessitous/needy circumstances of one or more individuals who are in Australia.
Advancing Education

The definition of advancing includes protecting, maintaining, supporting, researching and improving.

Provider Details - Private Dental

Dentist's Name

Dentist's Address

Total Amount Quoted

Itemised Quote Attached?

Yes
No

Upload Itemised Quote

Drop files here or

Accepted file types: pdf, Max. file size: 8 MB, Max. files: 10.

Only PDF files are allowed. Each PDF file should have a maximum file size of 8MB. You can upload up to 10 PDF files.

Provider Details - Health And Wellness

Provider's Name

Provider's Address

Total Amount Quoted

Itemised Quote Attached?

Yes
No

Upload Itemised Quote

Drop files here or

Accepted file types: pdf, Max. file size: 8 MB, Max. files: 10.

Only PDF files are allowed. Each PDF file should have a maximum file size of 8MB. You can upload up to 10 PDF files.

Document Proof

To assist with my application I have attached:

Brochures or details about the item or service
Documents to show that the item or service is likely to assist me
Documents to show how similar items and services have assisted me in the past
Documents to prove that the item or service is not fully covered by Medicare, my private health insurance or a state or federally funded program

Upload documents to support this application

Drop files here or

Accepted file types: pdf, Max. file size: 8 MB, Max. files: 10.

Only PDF files are allowed. Each PDF file should have a maximum file size of 8MB. You can upload up to 10 PDF files.

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Document Proof - Personal Development

To assist with my application I have attached:

A list of textbooks to be purchased
A copy of the course outline or information brochure
Confirmation of enrolment and subjects to be studied
A quote for the computer showing details of the retailer from which I wish to purchase the computer
Other relevant information (this may include evidence of prior study or courses completed, employment plans, wellbeing plans, support letters)

Upload documents to support this application

Drop files here or

Max. file size: 50 MB.

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Privacy Notice

Privacy Policy - Health and Wellness

The Forde Foundation will collect your personal information to assess your grant application. If the Forde Foundation makes recommendations to the Public Trustee to approve your grant, your personal information will be disclosed to the Public Trustee for his approval and payment of the grant from the Forde Foundation Trust Fund. Your personal information may also be disclosed to your health provider to arrange payments and a treatment plan.

Privacy Policy - Private Dental

The Forde Foundation will collect your personal information for the purpose of assessing your grant application and payment of grant invoices from the Forde Foundation Trust Fund.

Privacy Policy - Dental QLD Health

The Forde Foundation will collect your personal information to assess your grant application. If the Forde Foundation makes recommendations to the Public Trustee to approve your grant, your personal information will be disclosed to the Public Trustee for his approval and payment of the grant from the Forde Foundation Trust Fund. Your personal information will also be disclosed to Queensland Health to arrange treatment.

Privacy Policy - Personal Development

The Forde Foundation will collect your personal information to assess your grant application. If the Forde Foundation makes recommendations to the Public Trustee to approve your grant, your personal information will be disclosed to the Public Trustee for his approval and payment of the grant from the Forde Foundation Trust Fund.

Declaration - Health and Wellness

Declaration*

I have read the guidelines and fully understand that my application may not be successful and decisions of the Forde Foundation are final.
I declare that the information in this application is correct to the best of my knowledge.
I hereby give my consent for the Forde Foundation to provide my grant details to the Public Trustee if my grant application is successful in order that the Public Trustee may make payment(s) from the Forde Foundation Trust.
I hereby give my consent for the Forde Foundation to contact my provider to discuss payments and a treatment plan.
I have read the Guidelines.

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Declaration - Dental Private

Declaration*

I have read the guidelines and fully understand that my application may not be successful and decisions of the Forde Foundation are final.
I declare that the information in this application is correct to the best of my knowledge.
I hereby give my consent for the Forde Foundation to provide my grant details to the Public Trustee if my grant application is successful in order that the Public Trustee may make payment(s) from the Forde Foundation Trust.
I hereby give my consent for the Forde Foundation to contact my provider to discuss payments and a treatment plan.
I have read the Guidelines.

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Declaration - Dental - QLD Health Grant

Declaration*

I have read the guidelines and fully understand that my application may not be successful and decisions of the Forde Foundation are final.
I declare that the information in this application is correct to the best of my knowledge.
I hereby give my consent for the Forde Foundation to provide my grant details to the Public Trustee if my grant application is successful in order that the Public Trustee may make payment(s) from the Forde Foundation Trust.
I hereby give my consent for the Forde Foundation to provide my contact details to Queensland Health for the purpose of making a dental appointment with me.
I have read the Guidelines.

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Declaration - Personal Development

Declaration*

I have read the guidelines and fully understand that my application may not be successful and decisions of the Forde Foundation are final.
I declare that the information in this application is correct to the best of my knowledge.
I hereby give my consent for the Forde Foundation to provide my grant details to the Public Trustee if my grant application is successful in order that the Public Trustee may make payment(s) from the Forde Foundation Trust.
I have read the Guidelines.

Phone

This field is for validation purposes and should be left unchanged.

Grant Eligibility

You were one of the following:

You must be registered with Forde Foundation

Health and Wellness Grant

Apply Online - Health & Wellness Grant

Personal Development Grant

Apply Online - Personal Development Grant

Dental - QLD Health Grant

Apply Online - Dental - QLD Health Grant

Dental - Private Grant

Apply Online - Dental - Private Grant

Have You Registered?

Personal Details

Personal Details - Dental QLD Health

Treatment Details - Dental

Treatment Details - Health And Wellness

Medicare - Health and Wellness

Personal Development - Course Details

Provider Details - Private Dental

Provider Details - Health And Wellness

Document Proof

Document Proof - Personal Development

Privacy Notice

Privacy Policy - Health and Wellness

Privacy Policy - Private Dental

Privacy Policy - Dental QLD Health

Privacy Policy - Personal Development

Declaration - Health and Wellness

Declaration - Dental Private

Declaration - Dental - QLD Health Grant

Declaration - Personal Development