WWHS Community Health and Wellbeing Grants

WWHS Community Health and Wellbeing Grants

Application form
Thanks for taking an interest in making your community a healthier place!
The West Wimmera Health Service Community Health and Wellbeing Grants are designed to help community members with some funds, and with the support of the WWHS Health Promotion team, to do practical things that address the following regional priorities:

Healthy Eating

Living an Active Life

Increasing Wellbeing (Staying Socially Connected)

Reducing Tobacco and Alcohol Related Harm

No matter how big or small your idea, please contact Jake Wiffen (WWHS Health Promotion Team Lead) before completing this form. Jake will be more than happy to discuss your idea and help you to develop the concept... and even to help fill in this form!

Contact Jake by phone 5391 4190 or email health.promotion@wwhs.net.au
Project title
Key contact name

First NameLast Name
Name of your group/organisation
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Key contact phone number
Which of the following towns/areas will be covered by your project? (you may choose more than one)

NhillKanivaJeparitRainbowGorokeNatimukMurtoaMinyipRupanyup
As you fill in the boxes below, think about the four regional priorities:

Healthy Eating

Living an Active Life

Increasing Wellbeing (Staying Socially Connected)

Reducing Tobacco and Alcohol Related Harm

Your idea may address one or more of these priorities directly or indirectly. The WWHS Health Promotion team can help you to develop your idea so that you can contribute to making the Wimmera and Southern Mallee healthier in the same way that our health services and local governments do.

We are all in this together!
What do you hope to achieve with this project?
What issue(s) do you plan to address with your project?
Will your project engage with any of the following groups? (you may choose more than one, but you don't need to engage with all of them)

AdultsOlder adultsChildren and/or young peopleLow socio-economic statusWhole communityFarming communities
Who will you need to work and collaborate with for your project to succeed? (key stakeholders)
What motivated you to start working on this project?
What will success look like for this project? How will you know you've achieved your goals?
Please provide a timeline for your project. (NB. We require implementation of the project to take place within the first 12 months of receiving funds)
Do you have any experience or expertise in developing community projects?
And now for the budget! It looks worse than it is...
Think about what you will need to spend money on to make your project work.

If you already have some funds from your group or organsiation, you can add that cash to the 'other funds' column.

Have a think about what you might use the WWHS grant funds for. That goes in the column for 'WWHS funding'.

If your group or organsiation can help this project to succeed by, for instance, pitching in time and energy, providing a venue to meet or materials for a project, then think about what that might be worth and add that to the 'in kind support' column.

Don't forget, Jake (health.promotion@wwhs.net.au) is here to help with filling in this form. No need to puzzle this out on your own!

How will you spend the money and other resources to support your project? Please provide a rough estimate of costings for your project.

Rows	WWHS funding	Other funds	In-kind support
Activities
Resources
Transport
Catering
Advertising
Other

REMEMBER: WWHS FUNDING CANNOT BE USED TOWARDS ONGOING SALARIES OR INFRASTRUCTURE
Thank you for completing this application.

We will be in touch soon!
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