General Information
Before completing this application, applicants are required to:
• Discuss your application with a centre staff member to ensure you suitably meet the criteria.
• Be referred by a support agency.
• Hold a current low income concession card (unless a child – then eligible for concession through family member)
• Reside in Merri-bek
• Committ to attend the facility / program regularly and demonstrate a geniune willingness to improve in health and lifestyle.
Be able to attach copies of supporting documentation including
• Evidence of Merri-bek Residency (photo ID, utility bill or licence with current address
• Demonstrate financial hardship (a valid Healh Care Card i.e. receiveing a payment or supplement from Services Australia, or Permanent Protection Visa)
• Copy of referral letter from Wellbeing Support agency.
* Any further support after an initial 3-month support package will be determined in consultation with the participant, centre staff and referring health professional. The participant must demonstrate attendance at the centre / program regularly and improvement in health and lifestyle must be evident.
Help whilst completing the form
Whilst completing your application, you can save and close and return to your application at anytime prior to submission.
If you have questions about or need assistance to complete the application, please contact the Active Merri-bek Community Programs Director on 9354 3504 or e-mail
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