BRIGHT FUTURES GRANT APPLICATION FORM Question Title * BEFORE YOU START YOUR APPLICATIONPlease read and respond to the following:Have you been successful in a previous BHC Impact Grant round? Yes No If yes, please specify Question Title * Do you acknowledge that this grant can provide up to $800 support to purchase requested item/activity/course. Yes No Question Title * Do you have a quote/invoice for the item you wish to apply for? Yes No Question Title * Have you ensured that the cost of the item/activity/course remains the same eight weeks after you submit your Bright Futures application? (e.g. if item is on sale, BHC may not be able to match this price ifthe sale ends after application and grant assessment). Yes No Question Title * Applicants will be advised of the outcome of their application within 4 weeks post application. If your application is time sensitive please contact BHC Grants Team directly. Agree Disagree Question Title * Do you acknowledge the following to be eligible: No cash payments will be made for successful applications, direct payments will be made tosuppliers / retailers on behalf of successful applicants. All questions must be completed for applications to be considered. If in arrears or owing money to BHC, applicant must be engaged in a current payment plan andbe making the required repayments. Each dependent can only be successful once each financial year Applications must be for a specific activity or item that will contribute to the wellbeing,education and/or participation of dependent. I have been a BHC resident longer than 3 months. Next