Emergency Food Relief: Food Hamper Application Form

The Curtin Student Guild is running an Emergency Food Relief program for current Curtin University students experiencing hardship as a result of COVID-19.

Eligibility
Emergency Food Relief Hampers are strictly available for current Curtin University students in urgent need. The service is available to students residing within the Perth metropolitan area only. If you reside outside of this area, please contact the Student Assist team directly via student.assist@guild.curtin.edu.au to enquire about alternative support services and resources that may be available to you.

Food Hampers
St Vincent de Paul Society (WA) Inc has generously offered to help Curtin students through this difficulty, and has donated pre-assembled food hampers to distribute. Food hampers will contain a mix of basic non-perishable items aimed to last up to two weeks. Sample contents include rice, noodles, pasta, pasta sauce, canned items (beans / soup / vegetables / fruit / tuna), long life dairy etc.

Please be aware that all hampers are pre-packed and provided "as is" - unfortunately no alterations can be made to food hampers. Due to overwhelming demand and limited resources, we are unable to customise boxes in order to accommodate specific dietary requirements, however hampers do contain a broad mix of items, including several that cater to various dietary needs. Should you be unable to make use of any items in your hamper, you are welcome to pass these items onto friends or family. Alternatively, you may also return these to us at the Curtin Student Guild, to be re-allocated to others in need.

Hamper Collection
Once your application has been approved, further details for collection will be emailed to you. When completing the form, please ensure that you only nominate collection times at which you are certain you will be able to collect your parcel. If your availability changes after submitting the form, you must notify us as soon as possible, via food.support@guild.curtin.edu.au. Please note that due to extremely high demand, and in fairness to other students seeking assistance, any student who fails to arrive for their scheduled collection time or is more than 30min late (without providing adequate notice) will have their application cancelled. Cancelled applicants are required submit a new form, which will be placed at the end of the queue.

Grocery Vouchers
Please note that due to the overwhelming demand for the service and available funds being exhausted, Coles digital grocery vouchers are unfortunately no longer available.

All requests will be reviewed on a case-by-case basis, and are subject to resources available.

1. Student ID *

2. First name *

3. Family name (surname) *

4. Date of birth *

5. Student email *

Please use your Curtin student email (xxx@student.curtin.edu.au)

6. Mobile number *

7. Are you an international or domestic student? *

Domestic Student International Student

9. Faculty *

Business and Law Health Science Humanities Science & Engineering Centre for Aboriginal Studies

10. Course *

11. Please describe your current financial circumstances and/or hardship. *

Please tick all that apply.

I am unable to find work My hours of work have been reduced I am unable to receive allowance from home due to home country lock down I have had an unexpected expense (ie medical, purchasing study material) Other

13. Please select the most appropriate answer from the below options. *

I am able to pick up food hampers from Bentley campus (preferred). PLEASE NOTE: due to the size & weight of the hamper, you will require access to a vehicle if collecting in person. I am NOT able to pick up food hampers from campus. PLEASE NOTE: This option only applies to students in quarantine, self-isolating, no access to transport / vehicle, or other special circumstances.

19. Consent *

I consent to Curtin Student Guild using my personal information in order for Curtin Student Guild staff to make a decision on my request, for the administration of the food hampers and for Curtin Student Guild's general administrative purposes. I consent to Curtin Student Guild sharing my information with St Vincent de Paul Society (WA) Inc for the administration of the food hampers.

20. I acknowledge that I have read and understood the following Privacy Statement. *

"Curtin Student Guild handles all personal information in accordance with current privacy principles. In order to assist you, the Student Assist Officers may be required to collect, use and disclose your personal information within the Guild, with University staff, St Vincent de Paul Society (WA) Inc, Centrelink staff, or with other external agencies and bodies. Release of information without consent will only occur when there is a clear risk to your safety or that of others or where there is a legal obligation. Records are treated confidentially and access to each record is restricted. "

21. Any further comments or requests?

For further enquiries and any additional advice or support, please email student.assist@guild.curtin.edu.au.

Emergency Food Relief: Food Hamper Application Form

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