Emergency Food Relief Application Form

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

Program Information & Instructions

Support is provided in the form of a voucher which can be used on groceries and essential items.
All requests are reviewed on a case-by-case basis. Outcome is subject to individual circumstances and resources available.
Please note that this program is for emergency short-term assistance only.
Due to limited resources available, first-time applicants will be prioritised.
Please be advised that due to the large number of students seeking support, fixed voucher allocation limits (per student) apply. Students approaching this limit will be contacted via email.
Due to limited funding, long term assistance through this program is not possible. Please be aware that this program will be concluding in the coming months.
Students applying for support on more than one occasion must wait a minimum of 10 days after receiving a voucher before applying for a new one. Please be sure to buy enough food to last up to two weeks.
Any applications received less than 10 days after the previous voucher was awarded will be discarded.
Please allow at least one week for your application to be processed. Confirmation and collection instructions will be issued via email
Please do not lodge any new forms whilst awaiting a response to your most recently lodged form - this does not speed up the process. Duplicate applications cause significant delays due to adding to the backlog of applications. If you wish to follow up the status of your application, please simply send a follow-up email instead, to food.support@guild.curtin.edu.au.

Additional Support Available

The Guild also offers a range of free heat-and-eat frozen meals. These meals are available to collect from Guild Reception (B106F) any time during opening hours (9am - 4pm, Mon-Fri).
These meals are offered in addition to the Coles e-voucher and will not affect your eligibility for the Coles voucher. Students are encouraged to make use of both of these services.
Students are welcome to simply drop in any time to collect (no need to confirm or book ahead of time). If you have any follow up queries, please email food.support@guild.curtin.edu.au.

If you are seeking any additional advice or assistance whilst awaiting an outcome on your application for a food hamper, please contact the Guild's Student Assist team directly via student.assist@guild.curtin.edu.au.

This initiative is proudly supported by Lotterywest.

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). Please note that all communication related to your application will be sent to this email address, so please ensure you check it regularly for any updates or follow-up questions (including your junk/spam folder).

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 include general hardship (if applicable), as well as any financial circumstances specifically related to or brought on by the COVID-19 situation. NOTE: Emergency Food Relief is for students in urgent need. If you still have the means to support yourself (such as an income or allowance from family), please reconsider if you urgently need this support at this time. Funding for the program is limited and intended for students experiencing genuine financial hardship. We appreciate your understanding and hope we can all be mindful of others during this unfortunate time.

12. Will a Coles supermarket e-voucher (delivered electronically to you via email) meet your needs? *

Please note that Coles e-vouchers can be used for purchases online and in-store purchases (including Coles delivery).

Yes No

15. 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 volunteers and/or any other relevant third parties associated with the distribution and provision of the food support program.

16. 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, 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. "

17. Any further comments or requests?

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

Emergency Food Relief Application Form

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