Raise Community Application

Register below

For more information or to register an application to participate in Raise Community, please fill out this form and we’ll get in touch with you soon.

How did you hear about Raise Community Mentoring?

YOUNG PERSON DETAILS

Student First Name	Student Last Name
Preferred name	Name of School
School year (or equivalent if home-schooled)

Address Line 1	Address Line 2
City	State
Postal Code

PARENT CARER AGENCY DETAILS

Parent / Carer First Name	Parent / Carer Last Name
Parent / Carer Email Address	Parent / Carer Mobile Number
Organisation (if applicable)	Relationship to young person

Address is different from above

Address Line 1	Address Line 2
City	State
Postal Code

To help with matching to a mentor, tick as many boxes as you like to help us understand what the young person may be looking for or has been struggling with:

To help with matching please specify all days/times that would best suit:

Lead company name

DaysAvailable

Please tell us a little about why your young person would benefit from having a mentor

If you would like to apply for a scholarship for a partial or full fee scholarship, please check the below box and complete the additional questions.
(To apply for a scholarship, you must be receiving Family Tax Benefit Part A or B or both or be experiencing extenuating circumstances. The fee reduction will be at Raise’s discretion pending the scholarship funds available at the time of application. Full Terms and Conditions on applications here.)

I would like to apply for a Scholarship

Which Scholarship would you like to apply for?

Partial scholarship - weekly fee is reduced to $88 Partial scholarship - weekly fee is reduced to $44Full fee scholarship - weekly fees are waived See Terms and Conditions for details.

Please tick which boxes apply to your circumstances

I receive Family Tax Benefit Part AI receive Family Tax Benefit Part BI receive Family Tax Benefit Parts A&BWe are currently experiencing extenuating circumstances

Please tell us in a few sentences why you are applying for this scholarship?

Disclaimer
The Raise Foundation has a limited number of scholarships available to provide for Raise Community Programs each year. The completion of this scholarship application does not guarantee the receipt and approval of the reduction. The final approval will be provided, in writing, by a Raise Program Manager. The approval of a Fee Reduction does not guarantee ongoing fees to be discounted in consecutive years.

Once you select the Submit button, you'll be prompted to sign the form to complete your application.
For more information please click here.

	Before School	During School	After School
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