Holiday Unit Program Policy

Aims and Objectives

The Adelaide Benevolent Society Holiday Units in Victor Harbor will be rented at a subsidised rate for

the benefit of families and couples on a low income or experiencing financial hardship and who meet

the eligibility criteria. They will provide an affordable holiday for eligible persons. Reasonable

endeavours will be made to rent to a diverse range of individuals, couples and families.

COST

The cost of hiring the Holiday Units for the 2017/2018 financial year is $100 for the week (Tuesday

2pm to the following Monday 10am). The $100 must be paid at least three weeks prior to the

holiday date. If payment is not received, the dates will not be held. All payments are made directly

to the holiday rental management company.

There is also a refundable booking Fee and Bond of $50 (the booking fee/bond cannot be subsidised

by the referring agency). This amount will be refunded EXCEPT if the Applicant or any guests:

a. Cancel or change dates less than 3 weeks from the Holiday date: OR b. Should the Adelaide Benevolent Society incur cost associated with damage to the

property or other unreasonable costs as a result of the Applicant’s stay (including lost keys).

Referral Process

Applications for the Holiday Unit Program will be received from outside agencies and community

organisations ONLY. Organisations may nominate individuals/couples/families whom in their view

are worthy Holiday Unit Program recipients and meet the criteria. The application form must be

completed by the referring agency. Completion of a form does not guarantee acceptance of the

application. Once an application has been approved, the Applicant will be notified in writing and

invited to contact the holiday rental management company to book a date and make payment.

Payment plans are available.

Eligibility Criteria

Discretion will be applied when reviewing applications for Holiday Unit Program. Proof must be

provided of financial hardship. The eligibility criteria in relation to financial hardship includes:

• Holders of a Commonwealth Government Low Income Health Care Card and would

otherwise be unable to afford a holiday.

• Those who receive a Commonwealth Payment or supplement (Newstart etc) and would

otherwise be unable to afford a holiday.

• Those who can show evidence of financial hardship and based on such evidence it is unlikely

that they could afford a holiday through traditional avenues.

• If financial hardship has not been proven within our criteria, those Applicants may still be

offered a Holiday Unit to rent for $500 a week (a higher rate, but a rate well below the

market rate) if in our view they would otherwise be unlikely to be able to afford a holiday

through traditional avenues.

Additional essential criteria:

• Has not been a recipient of the Holiday Unit Program in the last two years.

• Has lived in South Australia for the past 5 years.

• Is not in jail or on home detention i.e. not currently serving a custodial sentence.

HOLIDAY UNIT PROGRAM RULES

To ensure the Adelaide Benevolent Society can continue to rent the Holiday Units and

allow families to enjoy a vacation in Victor Harbor, we ask that you abide by these simple rules.

1. There is NO SMOKING inside. Smoking outside is permitted 5 metres from the

premises.

2. Each Holiday Unit is self-contained. Please be respectful of the furnishing and contents and leave the unit in a suitable condition so others can also enjoy their holiday.

3. You need to remove all general waste on departure, by placing it in the outside bins.

4. Do not take or remove items. All items are Adelaide Benevolent Society property.

5. All damage and/or maintenance must be reported to the management company.

They will provide you with a maintenance feedback form when you collect the keys. This should be completed and returned with the keys on departure.

6. The Holiday Units are in close proximity to a Retirement Village. Please be respectful

of the elderly residents whom will be using the same carpark area and paths as you.

7. The car parks are allocated and you are only to park in the carpark marked “Holiday Unit Carparks”. There is one car park per holiday unit.

8. Do not make an unreasonable amount of noise, particularly outside.

9. Please do not enter the retirement village area at the back of the holiday units. These

are people’s private homes and gardens and are not part of the holiday unit area.

10. You must leave the unit by 10am on Monday. You cannot stay past this time. 11. You will need to take you own linen (sheets, pillowcases, towels, tea towels etc) and

other household requirements such as detergent and toilet paper. Bedspreads, blankets and pillows are provided.

12. We reserve the right for a person authorised by the Adelaide Benevolent Society or

their agent to enter the units at any reasonable time for repairs, cleaning or other authorised reasons.

13. If you have an urgent problem requiring maintenance please contact the Holiday Unit

management company on 8554 2029. If you have an emergency, please call 000.

APPLICATION THE ADELAIDE BENEVOLENT SOCIETY HOLIDAY UNIT PROGRAM

Please ensure that you have read the Policy and Rules prior to completing this application form. NOTE: This form must be completed by a referring agency.

APPLICANT 1 (Please circle) Mr Mrs Ms Miss

SURNAME Given Names Date of Birth Telephone Number (Mobile): TOTAL YEARS LIVING IN SA

APPLICANT 2 (Please circle) Mr Mrs Ms Miss

SURNAME Given Names Date of Birth Relationship to APPLICANT 1 TOTAL YEARS LIVING IN SA

HOME ADDRESS: Post Code Tel: POSTAL ADDRESS (If different from above)

EMAIL ADDRESS: Please send correspondence via email

Is a carer accompanying you on your holiday? YES NO If yes, is this person a friend, family member, or from an agency?

1. WHO IS ACCOMPANYING YOU ON YOUR HOLIDAY? PLEASE LIST BELOW ALL ADULTS AND CHILDREN

Name Relationship to Applicant Date of Birth

2. FINANCIAL INFORMATION: FINANCIAL INFORMATION OF AGENCY CARERS NOT REQUIRED

Applicant 1 Centrelink (specify)………………. Applicant 2 Centrelink (specify) ………………. (please tick) Dept. of Veterans Affairs (please tick) Dept. of Veterans Affairs Wages Wages Self-employed Self-employed WorkCover WorkCover Other (specify) …………………… Other (specify) …………………….. Other Adult Centrelink (specify)………………. Other Adult Centrelink (specify) ………………. (please tick) Dept. of Veterans Affairs (please tick) Dept. of Veterans Affairs Wages Wages Self-employed Self-employed WorkCover WorkCover Other (specify) …………………… Other (specify) …………………….. Evident MUST be included with the application, i.e Centrelink Income Statement or pay slips 3. ASSETS: Please provide details of any house, land, car, savings or investments of any adults: Item TOTAL VALUE $ Item TOTAL VALUE $ Item TOTAL VALUE $ Item TOTAL VALUE $

4. EMERGENCY CONTACT WHILE ON HOLIDAY: Name Relationship to Applicant/s Mobile Number Alternative Number 5. PREVIOUS USE OF THE PROGRAM Have you used the Holiday Unit Program in the past? YES NO If YES, what was your holiday date 6. STATEMENT TO BE SIGNED BY THE APPLICANT: Please check all pages of this application before reading and signing the following statement: I apply to be considered for the Adelaide Benevolent Society Holiday Unit Program I give my consent to the referring agency to provide relevant personal information to Adelaide Benevolent Society I consent to the Adelaide Benevolent Society providing my details to any management company used to manage the Holiday Unit

Program units. I have read the Holiday Unit Program Rules and agree to abide by them should my application be successful I declare that to the best of my knowledge the information contained herein is true and correct To the best of my knowledge, I meet the essential criteria in the Holiday Unit Policy I understand that a portion of the cost of the Holiday Unit Program is funded by the Wyatt Trust and I consent to a copy of this

application being provided to the Wyatt Trust for their non-identifying data reporting and grant evaluation in accordance with the attached privacy collection statement.

Signature of Applicant/s Date 7. THIS SECTION TO BE COMPLETED BY REFERRER: Name of REFERRING agency

Address Post Code

Contact Name Position

Email Mobile

Length of time you have known the Applicant:

8. REFERRING AGENCY COMMITMENT* *must be completed for the Applicant to be considered

The Applicant is known to me and I believe them to be a worthy recipient of the Holiday Unit Program. I have read the Adelaide Benevolent Society’s Holiday Unit Rules and believe that the Applicant and anyone accompanying

them on the holiday will be able to abide those Rules. NAME Signature Date

9. ATTACHMENTS:

1. REFERRAL LETTER on agency letterhead, providing details as to why the Applicant is a worthy recipient. Please also briefly provide evidence and reasons for financial hardship, including a budget of family expenses.

2. EVIDENCE OF INCOME comprising all pages of the applicants’ Centrelink Income Statement and / or recent pay slips for all adults (except agency carers) on the application.

Unsigned and incomplete applications will not be considered. Successful Applicants and their referring agency will be

notified in writing if an application is successful.

Please send completed applications via email or post

ADELAIDE BENEOVLENT SOCIETY INC. 17 Morialta Street, ADELAIDE SA 5000 Email: office@adelaide.org.au

TEL: 8231 5321 Web site: www.adelaide.org.au