UJEB Subsidy Request

Please ensure you have completed a separate form for each child and program.

Full name of parent/guardian*
Name of child*
Child's year level*
School*
Program*
Parent/ guardian email address*
Parent/guardian phone number*
Parent 1 occupation*
Parent 2 occupation*
Please put n/a if not applicable
Weekly Centerlink payment (for both parents/guardians)*
Please put a zero if not receiving a payment from centerlink
Weekly pre-tax income (for both parents/guardians)*
Number of dependent children*
Please detail the circumstances that necessitate the subsidy request*
Is this a request for a payment plan, reduction in fee or both?*
Payment plan is full fee over a number of months
What amount are you requesting a subsidy for?*
If there is any documentation you would like to upload please feel free to do so
Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx.
Please feel free to leave any other comments. The business manager of UJEB will be in touch to discuss your request.