Achieving their Best Application Form

ACHIEVING THEIR BEST APPLICATION FORM

Financial assistance for tutoring
CFT understands that living with CF has significant financial implications. When children are unwell, they can miss out on valuable school time and sometimes get behind in their work. Or, if they have learning difficulties such as dyslexia, then school can be a little more challenging.

This program will provide up to $400pa to eligible members towards tutoring in core subject areas - maths and literacy.

This program has been made possible by a generous grant from the MyState Foundation that enables us to offer this program in 2025.

Who is eligible?
- Children with CF attending school (Kindergarten to Year 12).
How do I make a claim?

1. Complete this online form.

2. Attach any receipts as proof of the expenses you have paid. An appropriately qualified individual or business must provide the tutoring and be able to provide an invoice with an ABN.

3. CFT will endeavour to process your application within 7-10 days (subject to staff availability).

NOTE: If you cannot pay for the tutoring costs upfront and would like CFT to pay them for you, please contact our Member Services Officer to discuss this option. You can do that via email at admin@cftas.org.au.
Name of person completing this form*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Post Code
Email*
example@example.com
Mobile Number*
Please enter your mobile number
Name of child with CF*

First NameLast Name
Date of Birth*

MonthDayYear
Date
What school is your child attending in 2025?*
Name of School
What grade will your child be in this year?*
Why does your child need tutoring?*

Repeated or lengthy hospital admissionsMissing school due to sicknessHaving learning difficulties
What subject is your child receiving tutoring in? (Note: it must be a core subject such as maths or literacy)*
Name of subject
Name of individual or business providing the tutoring*
Name of individual/business
Have you paid the account?*

Yes, and I would like reimbursementNo, please pay them directly
BANK ACCOUNT DETAILS

Please provide the bank account details that you'd like us to pay the money into.
BSB*
Account Number*
Bank account holder*
Name
DECLARATION

I declare that all information I have provided to Cystic Fibrosis Tasmania is true and accurate. I understand if it is found that I have knowingly provided false or inaccurate information, I may no longer be eligible to be a member or receive any or all of the services and benefits provided by Cystic Fibrosis Tasmania.

I understand this subsidy has made available as a one-off payment in 2025 thanks to a grant from the MyState Foundation and that it is unlikely that the program will be offered beyond this year.
E-Signature Name*
Date*

DayMonthYear
Date
Should be Empty:

ACHIEVING THEIR BEST APPLICATION FORM

BANK ACCOUNT DETAILS