COVID-19 Relief Assistance - Shree Swaminarayan Temple Melbourne

This is an Emergency Relief Kit for individuals who are in desperate need of it.
A humble request before you fill this form.

Ask yourself if you really need this relief kit, or you would rather leave it for someone who really needs this relief kit.

Please note this a pick up only service. No deliveries will be made. Thank You for understanding the scenario.
Consent
I confirm that i am really in need of this emergency relief food kit.

Select the council you live in.*
If you are not sure which council you live in, please visit the link below:- Check My Council

You are living in an area that is being serviced by our partner organization. Please contact the relevant partner.

Suburbs	Partner Name	Contact Details
City, Western Suburbs, Northern Suburbs, Bundoora /LTU Side	Hindu Council of Australia (HCA)	Hindu Council AU
Northern Suburbs: Mill Park, Morang, Macleod	Hindu Council of Australia (HCA)	Hindu Council AU

Assessment Check

Are you an individual who is need of some help?*

Yes
No

Are you currently employed?*

Yes
No

Are you receiving Jobkeeper or Jobseeker payments in your household?*

Yes
No

Are you a student or Family Member?*

You are applying as a student, please use the following link to apply as a student:-
Student Form
Thank You

Shree Swaminarayan Temple Melbourne takes great privilege in supporting the community at large during the COVID-19 pandemic crisis. Following the regulations outlined by the Government, Shree Swaminarayan Temple Melbourne will ensure that these guidelines are heavily enforced while supporting the community at the current time.

We would like to request all people who are here for collection of their packages to please follow the government guidelines and the procedures defined below except (If you have any symptoms of flu, fever or cough, you will be required to nominate a collection person.) :-
1. Please queue up and maintain a distance of 2 meters between each individual. A volunteer will arrive shortly to assist you.
2. Please do not cross the premises gates or insist in entering the premises. Our volunteers will assist you.
3. When it will be your turn to collect your package, please wait in the marked designated box.
4. Our volunteers will leave the package at a designated spot. You can only collect the package once the volunteer is 2 meters away from the package. This is to ensure your safety and the safety of our volunteers.
5. Once you have received your package, we enforce that you please leave the area immediately and proceed back to your house. Please do not hang around for socializing.
6. When you arrive to pick up your package, please ensure that only one person is in the queue and any other person/friend is in the car.
7. The person who has requested for the relief package should be the one collecting. We do not recommend nominees for collection except for the symptoms specified above.
8. A proof of ID is required showing your address details matching the address details on the form that you have submitted. Failure to provide this may prevent your package from being issued.
9. Failing to abide by the above rules will lead to your package not being issued.
Consent*
I confirm that i have read and understood the collection / pick up guidelines above and will adhere to this guidelines when collecting my package.
I agree to the collection / Pick Up guidelines above.

Name*
First Last
Email*
Choose Location*
Search for Address
Longitude Latitude
Suburb*
Your Postcode*
Mobile Number*

Package*
Our emergency food relief kit will include the following items.
Baked Beans - Maximum 2
Tomato Tin - 2
Bean Tin - Maximum 2
Pasta Pack - 1
Biscuit Pack - Maximum 2
Rice Pack (1 Kg) - 1
Potatoes
Carrots
Chilli Powder
UHT Milk 2 Litres
- Food Relief Kit
Other Item
Country of Origin*
I am a*
- Foreign Student
- Elder Citizen
- Stranded Foreigner
- In Isolation/Quarantine
Urgency of my situation.*
Must get help by date
Date Format: DD slash MM slash YYYY
Date of Arrival in Australia*
Date Format: DD slash MM slash YYYY
Work Details
Working*
Please provide the company name you are working at/worked at.
Work Type*
What type of job do you do?*
When did you loose your job?*
Date Format: DD slash MM slash YYYY
How many family members live with you (if dependent kids or elders, provide their age)*
Have you or anyone else in your household tested positive for Covid-19?*
Difficulties Being Faced?*
Please be thoroughly descriptive.
Have you received help from any other source?*
Name of Organisation you received help from.*
Note:

Preferred collection point and time will be advised.
Preffered Collection Point*
Preffered Collection Day - Boronia*

Step 1 of 6

This is an Emergency Relief Kit for individuals who are in desperate need of it.

Work Details

Note:

Preferred collection point and time will be advised.

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