Apply for School Support.

School Details: 

School Name: *    

School MOE Number: *

School Address: 

Physical Address: *    

Physical Suburb: *    

Physical City: *    

Physical Postcode: *    

Region: *

School Contact Details: 

Phone: *    

Email: *    

Type of school: *    

EQI Number    

Current Roll: *    

Contact name: *    

Job title: *    

Contact Email: *   

Principal Name: *    

Principal Email: *    

What percentage of student roll would benefit from KidsCan support? *    

Does your school wear a uniform? *   

Does your school receive support from any of the following programmes?

Kickstart

Fruit in Schools

Government's Healthy School Lunches 

Would you be happy for KidsCan to contact your school in relation to media articles focusing on the needs of your community?
Note: your answer will not affect the success of your application. *    

Yes, I confirm school management is aware and in support of this application. *