Important Information Thank you for applying for a grant to celebrate National Carers Week which runs from Sunday 14 Saturday 20 October 2018. Before you begin your application, please read the Frequently Asked Questions which are available to download from the Carers NSW website. The NSW Department of Family and Community Services funds Carers NSW to provide grants of $300.00 AUD to carer support groups and organisations to plan events and activities for carers during National Carers Week. Organising an event is a wonderful way to acknowledge anyone caring for a family member or friend and to give them a break from the responsibilities of their caring role. Many events attract new carers to carer support groups and planning an event is a great way of reaching out to hidden carers in your area. Applications close at 5.00pm on Friday 15 June 2018 and you will be notified of the outcome of your application, by email, by the end of July 2018. All applications and supporting documents must be received by this time, late or incomplete applications will not be accepted. * 1. Have you read the Frequently Asked Questions? The frequently asked questions will provide additional information which may help you to complete your application. The FAQs are available to download here and from the Carers NSW website. 1
* 2. Your contact details Name Organisation (optional) Address Address 2 City/Town State Postcode Email Address Phone Number * 3. Are you also the event contact? Event Contact Details 4. Who is the contact for the event? Name Email Address Phone Number The event contact details will be published in the National Carers Week calendar. * 5. Did you apply for a grant on behalf of a carer support group or an organisation? Carer Support Group Organisation 2
Region * 6. Please provide your Region (This is the location in which your carer support group / organisation is primarily based, it may differ from the location of your event.) Central Coast Central West Cumberland/ Prospect Far rth Coast Hunter Illawarra Inner West Sydney Mid rth Coast Nepean New England rthern Sydney Orana/ Far West Riverina/ Murray South East Sydney South West Sydney Southern Highlands If Region is unknown, please provide your postcode About Your Group/Organisation Please provide a brief profile of the carers who attend your carer support group/organisation. This section is compulsory. If you have any questions or comments please outline these in the general comments section at the end of the application. * 7. Name of your group/organisation 3
* 8. How often does your group meet? Weekly Fortnightly Monthly Bimonthly Quarterly Twice a year Annually As required Other Other (please specify) * 9. Which age category do MOST carers in your group fall into? Under 18 years 18-25 years 26-64 years 65 years and over All ages Other (please specify) * 10. What is the gender of MOST carers in your group? Male Female Equal number of male/female Other (please specify) * 11. Do MOST people in your group identify as either Aboriginal and/or Torres Strait Islander carers? 4
* 12. Do MOST of the people in your group identify as culturally and linguistically diverse* carers? *The term culturally and linguistically diverse is commonly used to describe the diversity of language, religion, culture and ethnicity of people living in Australia. The term includes reference to ancestry, country of birth, parents country of birth, a language other than English being spoken at home, religious affiliation and the length of time of residence in Australia. While it can be considered that every person is culturally and linguistically diverse, the term is generally used to refer to people from a non-english speaking background (NESB). * 13. Do MOST people in your group identify as LGBTI* carers? *LGBTI refers collectively to people who are lesbian, gay, bisexual, trans, and/or intersex. These five distinct but sometimes overlapping groupings are part, but not all, of what we mean when we speak about 'LGBTI' communities/populations. * 14. Which of the following categories BEST describes your group of carers? Carers of frail-aged people Carers of people living with dementia Carers of younger people (under 65 years of age) with a disability Carers of people with a chronic illness Carers of people with a serious or terminal illness Carers of people living with mental illness Carers of people with drug and/or alcohol dependency All carers Other (please specify) About Your Event Please tell us about the event you are planning during National Carers Week. 5
* 15. Name of event/activity * 16. Date of your event: dd/mm/yy Date DD/MM/YYYY National Carers Week runs from Sunday 14 - Saturday 20 October 2018. 17. If your event will be planned outside of National Carers Week, 14-20 October 2018, please tell us why. * 18. Location of event Name Address Address 2 City/Town State Postcode * 19. Is the event open to carers who are not currently members of your carer support group/organisation?, enquiries welcome, invitation only 6
* 20. In which region will your event be held? (If your event involves travel, select the region that most closely matches your destination.) Central Coast Central West Cumberland/ Prospect Far rth Coast Hunter Illawarra Inner West Sydney Mid rth Coast Nepean New England rthern Sydney Orana/ Far West Riverina/ Murray South East Sydney South West Sydney Southern Highlands If Region is unknown, please provide your postcode 7
* 21. Which of the following categories BEST describes your event? Afternoon tea BBQ or Picnic Day Trip or Tour Dinner Expo or Information Day Luncheon Movie, theatre or music event Morning tea Respite Thank you or Award event Wellness, Pamper, or Activity Day Workshop Other (please specify) * 22. Approximately how many carers do you expect to attend your event? 0-10 11-20 21-50 51+ Unsure About Your Event 8
* 23. Will you invite any distinguished guests or VIPs to your event? If yes (please specify) * 24. Will you be partnering with another group/organisation to run this event? If yes (please specify) About Your Event 25. Do you have any comments about the event you will hold during National Carers Week? Event Promotion 9
* 26. How will you promote your event? Tick all that apply. Group members Local paper Local radio Local TV Newsletter Posters Social media Word of mouth ne of the above Other (please specify) * 27. Do you give Carers NSW permission to include your event in our printed event calendar and online? If, please tell us why * 28. Have you / will you be applying for a grant on behalf of another carer support group / organisation in 2018? If, please provide details 29. Did you successfully apply for a grant to Celebrate National Carers Week in 2017? ABN Information 10
* 30. Does your carer support group/organisation have an ABN? ABN Information * 31. Please enter your ABN (no spaces) ABN Information If your carer support group / organisation does not have an ABN, you can still apply for a grant to celebrate National Carers Week. Please complete a Statement by a supplier and Donation Application form and send to commsteam@carersnsw.org.au by Friday 15 June 2018. Download Statement by a supplier form. Download Donation Application form. * 32. Have you completed the Statement by a supplier and Donation Application forms and sent both to Carers NSW? Payment Details 11
* 33. Who would you like your cheque made payable to? Name (As it should appear on the cheque) Organisation (optional) Address Address 2 City/Town State Postcode General Comments 34. Do you have any comments or suggestions about the grant application process or National Carers Week in general? If you wish to make a complaint about Carers NSW provision of service, please visit our website to fill out the complaints form and view our Complaints Policy. THANK YOU 12
Thank you for applying for a grant to celebration National Carers Week. You will be notified of the outcome of your application by the end of July 2018. Due to the high number of applications, we are not able to take enquiries relating to your application over the phone. Please email questions to commsteam@carersnsw.org.au and include your name and the name of your carer support group / organisation as it appears on your application. 13