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COVID-19 SHORT TERM FEE ASSISTANCE APPLICATION

ENROLLING PARENT INFORMATION

Parent 1

Employment

Full Time Part Time Casual Not Employed

Parent 2

Employment

Full Time Part Time Casual Not Employed

CHILD INFORMATION

Child 1

Child 2

Child 3

Child 4

Year Level

FINANCIAL INFORMATION

Please provide the following documentation with this form in your email application.

1. Proof of Pre-COVID-19 Lockdown income:

1x Pre COVID-19 (Delta) Lockdown Payslip (showing prior salary/wages)

FY21 Income Tax Return (Individual and/or Business)

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Please upload file in pdf, jpg or png format only.

2. Proof of Current Income:

1x Current Payslip or a Statement of Salary from Employer; AND (if applicable)

Evidence of Current Government payments (e.g. Centrelink, COVID-19 Disaster Payment)

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Please upload file in pdf,jpg or png format only.

OTHER INFORMATION FOR CONSIDERATION

PRIVACY STATEMENT

Your privacy is important to us. The School's Privacy Policy, which outlines how we manage personal information in general, is available on the school website.

DECLARATION

By checking this box I/we declare that we believe the above to be a true and fair statement of our current family income, and agree to notify Dubbo Christian School of any significant change to these figures.

Date