JLTAV Regional Support Scheme Application
This request for funding should be submitted to JLTAV at least 6 weeks prior to the event taking place in order to ensure sufficient time to advertise and organise the event. On approval of funding, invoices to be forwarded to JLTAV (jltav@jltav.org.au) for payment prior to the event taking place. Receipts to be reimbursed may be forwarded either before or after the event, accompanied by a reimbursement request form.

Please have the Regional Contact Person fill in this form.
Email *
Confirm Regional Contact Person's email address *
Must match the email address above - i.e. the first address must be the Regional Contact Person's email address. The organiser's email address is entered further down the form.
Region *
Regional Contact Person's Name *
Event Organiser's Name *
Event Organiser's Email Address *
Event Organiser's Phone Number *
Event Details
Name of Event *
E.g. North-West Region ICT Workshop; Wodonga Primary PD
Date of Event *
If date has not yet been finalised, please list date options.
Location *
E.g. School name, venue name
Purpose - Teachers
Purpose - Students
Expected Number of Participants *
Anticipated Costs
Participants should not be charged for any costs that are covered by this funding.
Should more information be necessary please add this after the dollar figure or estimate.
Stationery/Printing etc
Presenter Fee
Presenter Transport
Presenter Accommodation
Other Costs
Divide total cost by number of (anticipated) participants
Amount of Financial Support Requested *
Method of reimbursement
Not Applicable
Stationery/Printing etc
Presenter Fee
Presenter Transport
Presenter Accommodation
Clear selection
Other Comments
Please Note:
Invoices must have the name and date of the event on them.
No reimbursement without original receipts, accompanied by a Regional Support Scheme Reimbursement Request Form (on the JLTAV website) to be sent to the JLTAV office. Please collate all receipts to one Reimbursement Request Form.
A copy of your responses will be emailed to the address you provided.
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