Sponsor Form

Please fill out the form below or download the word doc form and submit to our email at admin@tirkandi.org.au

Sponsor Form: DCJ / Community

Applicant/ Young person Details

Name *

Date of Birth *

Age *

Current Address *

Current School *

Year *

Sponsor Details

Name *

Organisation/ Agency (if applies)

Position (if applies)

Phone *

Email *

Applicant (Young Person) Information

1. Why do you want the applicant/ young person to attend Tirkandi? *

2. What are the main areas of need of this applicant/ young person? *

3. What do you consider the qualities and strengths of this applicant/ young person? *

4. What do you consider are the challenges this applicant/ young person faces? *

5. Briefly describe any support services the young person has accessed in the past two years? *

6. Is there anything else Tirkandi Inaburra should be aware of that may impact the applicant/ young person while being involved with the program? *

I confirm that I/ we:
Have a clear understanding of Tirkandi Inaburra’s philosophy, purpose, assessment criteria and programs have considered the information concerning the expectation from sponsors, are committed to supporting this young person’s application and believe that he is suitable for Tirkandi Inaburra program. I/ We have provided the young person with information about Tirkandi Inaburra.

I agree to the above statement *

I agree

Statement Of Our Respects

Sponsor Form

Applicant/ Young person Details

Sponsor Details

Applicant (Young Person) Information