Hardship Fund Application Form
Our Hardship Fund is a fund used to cover the cost of an AV activity, event, meeting or membership, essentially any AV service that has a cost associated with it, if cost is a barrier to you benefiting from this AV program. To apply for financial assistance, please fill out this form. We define Financial Hardship as a situation in which your life is difficult or unpleasant, often because you do not have enough money which could be brought on by unemployment, sickness, family breakdown, lower income or loss of income.

Once we have processed your request, you will hear back from us. Following that, please complete the registration for the AV activity, event, meeting or membership, and select the option "invoice me". We will mark that invoice as paid on our end and you will receive a confirmation email. For Hardship Fund Applications related to Job Coaching, we will assist with the invoice payment after completion of the Expression of Interest.

Please do not attend the AV event without having received the confirmation email that the cost will be met by the Hardship Fund.

If you would prefer to not fill in this Google form you can email your Hardship Fund request to our admin Jack: admin@aspergersvic.org.au.

 You can also ask Jack any questions or raise any concerns you have about hardship funding.
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Please select the type of AV activity, event, meeting or membership, you would like funded.
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Please provide more specific information about the type of AV activity, event, meeting or membership, you would like funded.
Please provide the date and name of the event (E.g. AV Career Network Friday 13 September or Young Adults Thursday 22 October). The full name of the D&D group (this includes the group number, day of the week and time). The name of the D&D holiday program.
If you're interested in Job Coaching or another program where the cost is over $200 and would prefer a partial reduction in fees, please enter the amount you are able to pay.
The cost we will charge you will be reduced by the amount you can pay below. If you leave this blank, we will assume you would prefer the whole cost covered.

Please share a few details about your financial position and the reason for this request. We confirm this will remain confidential.

Please provide the email associated with your AV account or if you don't have an account the email you wish to register with.
This is the email we will send confirmation of hardship funding and any further instructions too.
If you have already created an invoice/ registration could you please provide the invoice number below?
This will help us to find and therefore fund the invoice faster.
Any additional feedback for us?
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