Heat Beat Club Grant Applications

I am applying for the following grant

Organisation, club or assocation *

Contact First Name *

Contact Surname *

Email Address *

Phone number *

Planned venue for the course *

Please nominate two or three suitable dates and times which can be checked with our trainers for availablity.

Preferred date and time #1 *

Preferred date and time #2 *

Preferred Date and time #3

Please briefly describe the family/parent community group the course will be delivered to (e.g. Aboriginal, CALD, low SES, adolescent parents etc) *

Please briefly describe the community group the course will be delivered to *

Please briefly describe the expected benefits of receiving a free Heart Beat Club community first aid course for your organisation's target group/s: *

Please briefly describe the expected benefits of receiving a free Heart Beat 45+ community first aid course for your group *

Please list any special requirements you have for a course (e.g. female trainer only)

Can we follow up with you to obtain photos from the course for use for promotional purposes? *

Yes, we are happy to supply images from the courseNo, we would prefer not to share images of this course

I acknowledge there must be at least 10 confirmed participants for the course to proceed. *

Comments

Please note the Heart Beat Club and the Heart Beat 45+ course is a community initiative only. This is not a qualification course.