Funding Eligibility Form

Section A — Personal Details

Full Name

Date of Birth

Gender
—Please choose an option—MaleFemaleNon-binaryPrefer not to sayOther

Email

Phone

Address

Postcode

Nationality / Residency Status

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Section B — Household Information

Household size

Number of dependents

Living situation
AloneWith familySupported housingTemporary accommodationHomeless / at risk

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Section C — Employment & Income

Employment status
—Please choose an option—UnemployedPart-timeFull-timeSelf-employedStudentUnable to work

Monthly income range
—Please choose an option—NoneBelow $500$500 – $1,000$1,000 – $2,000$2,000+

Receiving government benefits?
YesNo

If yes — which type? (optional)

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Section D — Funding Request Details

What support are you applying for?
—Please choose an option—Training fundingEquipment supportCounselling supportReintegration supportCreative arts grant

Why are you requesting funding?

How will this funding help you?

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Section E — Risk & Priority Indicators

Are you currently in recovery from addiction?
—Please choose an option—YesNoPrefer not to say

Are you a returning citizen / reintegrating individual?
YesNo

Are you at risk of exclusion or unemployment?
YesNo

Do you have a support worker?
YesNo

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Section F — Evidence Upload

Upload ID

Proof of income (optional)

Referral letter (optional)

Supporting documents (optional)

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Section G — Declaration

I confirm the information provided is true and accurate. I understand ThriveBridge may verify these details.

Signature (Full Name)