ACA EA Application

ACA EMERGENCY ASSISTANCE FUND

APPLICATION FORM
The Emergency Assistance Fund has been designed to support ACA Members who are Past Players experiencing unexpected and temporary financial stress as a result of COVID-19. It is also available to Current Players who are W/BBL (Only) Contracted Players or Female Domestic (WNCL) Contracted Players.

The purpose is to provide some short-term financial relief.

If you are a Past Player, support may be provided to you in the form of a grant and/or loan or payment for goods and/or services. The Assessment Panel will in its absolute discretion assess and determine the merit of each individual application on a case-by-case basis, with the assistance of the criteria in the table below.

If you are a Current Player who is a W/BBL (Only) Contracted Players or Female Domestic (WNCL) Contracted Player you will be required to complete a Game Development Appearance(s) in return for a Game Development Grant paid from the Emergency Assistance Fund. To fulfill the appearance requirements the ACA Communications team will gather content which may include stories on your playing career, work and education away from the game.

If you are finding the isolation and reduced social connection difficult and would like the ACA to make regular contact with you feel free to contact Megan Pauwels on 03 9698 7207.

This fund operates in addition to other ACA services and programs. For instance, if you are a Member (regardless of your status as a Past Player or Current Player) and experiencing genuine financial hardship that has been exacerbated by COVID-19, you may want to consider applying to the Player Hardship Fund. For further information please contact Carla Dziwoki at cdziwoki@auscricket.com.au or 0422 389 755.
WHAT KIND OF SUPPORT CAN I ACCESS?

The support available to Members is outlined below, with corresponding criteria and application requirements. The ACA's Assessment Panel will consider and determine the level of support which you may be provided in its absolute discretion.
Click here to view what Government assistance is applicable to you
HOW DO I APPLY?

1. Determine the type and tier support you are seeking

2. Complete the application form

In the Application Form you will be asked to disclose some personal, employment and/or financial information for the ACA to assess your application and eligibility. All cases will be treated on a confidential basis and information will only be used by ACA staff or our professional advisers for the purpose for which it was collected. For information on how the ACA collects, holds and uses Members’ personal information please refer to the ACA’s Privacy Policy which is available at https://www.auscricket.com.au/about-us/privacypolicy

Should you have any questions as to what is required please call Megan Pauwels on 03 9698 7207 or email acagrants@auscricket.com.au

Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *
Please provide the best contact number to reach you on
E-mail *
Please provide the best email address to reach you on
Please provide a brief description of how you have been impacted by COVID-19 *
(e.g. explain the impact this is having on you and your family including loss of employment or income and in what capacity)
Tier of support you are applying for? *

TIER 1 - $2,000 GRANT/LOAN

*Pleasenote: any amount above $1,000 would be required to be repaid to the ACA on an agreed basis (e.g. return to work).
Have you lost all income streams? *
How many hours of work per week were you doing prior to COVID-19 (and with what employer)? *
What amount (in dollars) of your weekly wage have you lost as a result of COVID-19? *
Do you understand that you will be required to repay any amount above $1,000 on a basis to be agreed with the ACA (e.g. once you have the income and capacity)? *
Have you applied for government support? *
*Please note this is required if progressing with Tier 1 or Tier 2 grants/loans
If yes, please specify which type *
e.g.Jobseeker, Jobkeeper, Austudy, Youth Allowance
What date are you expecting government benefits to commence?

Day Month Year
Are you currently receiving any employment benefits such as sick leave, annual leave or long service leave? *
If yes, please specify which type *
e.g. annual leave, long service leave
Please upload evidence (e.g. confirmation email) you have applied for government assistance *

Browse Files
(e.g jobseeker, jobkeeper, youth allowance, austudy) Cancel of

TIER 2 - $1,000 GRANT
How many hours of work per week were you doing prior to COVID-19 (and with what employer)? *
How many hours are you doing now? *
What amount (in dollars) of your weekly wage have you have lost as a result of COVID-19? *
Have you applied for government support? *
*Please note this is required if progressing with Tier 1 or Tier 2 grants/loans
If yes, please specify which type *
e.g.Jobseeker, Jobkeeper, Austudy, Youth Allowance
What date are you expecting government benefits to commence?

Day Month Year
Are you currently receiving any employment benefits such as sick leave, annual leave or long service leave? *
If yes, please specify which type *
e.g. annual leave, long service leave
Please upload evidence (e.g. confirmation email) you have applied for government assistance *

Browse Files
(e.g jobseeker, jobkeeper, youth allowance, austudy) Cancel of

TIER 3 - $500 GRANT
Provide details of the goods, services and/or courses that would like assistance paying for at this time. Please upload or attach any receipts, quotes or invoices and a description of your current situation *
please provide as much detail as possible
Please upload evidence (e.g. confirmation email) you have applied for government assistance *

Browse Files
(e.g jobseeker, jobkeeper, youth allowance, austudy) Cancel of

Bank Details

Provide account information that you would like your payment made into if your application is successful.
ACCOUNT NAME *
FINANCIAL INSTITUTION *
BSB *
ACCOUNT NUMBER *
ALL APPLICATIONS WILL BE REVIEWED AND PAID WEEKLY. IF SUCCESSFUL, A CONFIRMATION EMAIL WILL BE SENT TO YOU WITH A PROPOSED PAYMENT DATE.

IF YOU ARE SENDING YOUR APPLICATION VIA POST, WE WILL SEEK TO PROCESS YOUR FORM AS SOON AS PRACTICAL

Career development
Please select your contract status *
Do you need assistance with your career development (resume, re-skilling etc)? *
If yes, please specify support that would be beneficial *
Are you happy for the ACA Communications Team to contact you for a discussion about potential stories and/or educational content you could participate in. This may include stories from you playing days, work and education away from the game and/or transitioning out of the game. *
*

*
Should be Empty:

ACA EMERGENCY ASSISTANCE FUND

TIER 1 - $2,000 GRANT/LOAN

TIER 2 - $1,000 GRANT

TIER 3 - $500 GRANT