Submit a Referral

Request Support for a Student

My Community Rescue Inc. works with participating schools to help students experiencing financial
hardship or other circumstances that may affect their ability to fully participate in school.


Schools can submit a referral for consideration where a student requires practical assistance with
approved educational or school-related needs.


Support may include school uniforms and shoes, educational supplies, learning materials, breakfast or
lunch assistance, participation in school activities and other approved needs.


All referrals are assessed individually and assistance is subject to eligibility, available funding and
resources.


For further information about becoming a Partner School or accessing support for a student, please
complete the form below and our team will contact you.

School Details
Referring Staff Member
Student Details

Please provide only the information required for us to assess the referral.

What Support Is Being Requested?
Details of Support Required

Please briefly explain what assistance is being requested.

Reason for Referral

Please provide a brief explanation of why assistance is being requested and how the support would assist the student's participation in education.

Preferred Method of Providing Support

My Community Rescue Inc. will determine the appropriate method of providing approved assistance following assessment of the referral.

School Contact for Follow-Up

If different from the referring staff member:

Supporting Documentation

Please do not upload documents containing information that is not necessary for assessment of this referral.

What Happens Next?

Once your referral has been submitted, My Community Rescue Inc. will review the information
provided.
If further information is required, our team will contact the nominated school representative.
Approved assistance will be coordinated with the school or an appropriate supplier. Submitting a
referral does not guarantee funding or assistance, and support remains subject to available
resources and approval.

Interested in Becoming a Partner School?

Schools interested in working with My Community Rescue Inc. can also contact our team to discuss
becoming a Partner School.

Confidentiality

Information submitted through this form should only be used for assessing and coordinating the
requested support and handled in accordance with applicable privacy requirements and My Community
Rescue Inc.’s policies.
Please provide only the minimum personal information necessary for us to assess the referral.