Te Kāhui o Taranaki Trust Kōrari Pāhake Hauora Grant Application & Eligibility Information
1
Te Kāhui
Taranaki
TheApplicant
be registered
Kōrari Pāhake Hauora
Kāhui oTaranaki Iwi
to
October 2022 and will include
who reside in New Zealand:
IMPORTANT - PLEASE READ BEFORE COMPLETINGYOURAPPLICATION ●
o
Iwi Kōrari Pāhake Hauora Grants open
assistance with: ○ Hearing ●
must
withTe
●
Grants are available
uri
Te Kāhui oTaranakiTrust | Kōrari Pāhake Hauora Grants Eligibility and Information 2
1. TITLE 4 2. OBJECTIVE 4 3. PURPOSE 4 4 POLICYSTATEMENT 4 5 SCOPE 4 6. GRANTAPPLICATION ELIGIBILITY 4 7. APPLICATION PROCESSANDASSESSMENT 5 8. CONDITIONSAND RESPONSIBILITIES 5 9. POLICYOWNERAND REVIEW CYCLE 5 10. Notes 6 11. KŌRARI PĀHAKE HAUORAGRANTAPPLICATION 7 Te Kāhui oTaranakiTrust | Kōrari Pāhake Hauora Grants Eligibility and Information 3
The overall aim of Te Kāhui o Taranaki (TKOT) Kōrari Pāhake Hauora Grant is to provide financial assistance toTaranaki Iwi Pāhake aged 60 years and over.
1. TITLE
Te Kāhui oTaranakiTrust Kōrari Pāhake Hauora Grant Eligibility Information
2. OBJECTIVE
● To assist Pāhake registered with Taranaki Iwi to purchase hearing devices that help maintain or improve their health and wellbeing
3. PURPOSE
The purpose of the policy is to outline the eligibility and application criteria, terms and conditions relating to the selection and disbursement of Kōrari Hauora Grants byTaranaki Iwi
● The range and scope of Kōrari Hauora Grants available fromTe Kāhui oTaranaki Iwi;
● The criterion framework that can be applied;
● The application and assessment procedure;
● The conditions of each grant;
● Decision making and award disbursement; and
● The internal roles and responsibilities
Ensuring that good practice of fairness, clarity, and transparency are clarified throughout the medical grant process
4. POLICYSTATEMENT
The key principles of the Kōrari Hauora Grant Policy are:
● To facilitate opportunities to access quality medical items and services;
● To promote good health and wellbeing;
● To harness a commitment to the objectives ofTe Kāhui oTaranaki Iwi
5. SCOPE
The Medical grants awarded and covered by this policy are:
● $1,000 Hearing: moulds, aids and hearing exams only
NB: Surgery costs are not covered in any of the above treatments
Any surplus underspend may be reissued in the form of special grants at the discretion of the Board
6. GRANTAPPLICATION ELIGIBILITY
Available to all Pāhake and in which the applicant MUST:
● Be registered withTe Kāhui oTaranaki and reside in New Zealand
● The maximum grant amount available is $1,000 in any 12 month period
● Submit a fully completed application including all required information (incomplete applications will not be considered)
Te Kāhui oTaranakiTrust | Kōrari Pāhake Hauora Grants Eligibility and Information
4
Successful grant recipients can re apply for another grant after 12 months
The grant may be used only for
related
Sole discretion to accept or decline a grant that does not meet criteria rests with us.
are final and no
will be entered into.
7. APPLICATION PROCESSANDASSESSMENT
Applicants are eligible to receive one grant per calendar year;
Applications are vetted to ensure eligibility criteria are met;
All applicants will receive notification of application receipt.
Reciprocation commitment to Te Kāhui o Taranaki Iwi may include:
Having involvement withTaranaki Iwi;
Attending aTe Kāhui oTaranakiAGM;
Attending at least one cultural | wānanga per year;
Acknowledging your affiliation to Te Kāhui o Taranaki Iwi in all publications, especially when awarded the Kōrari Pāhake Hauora grant
Participation in grant recipient feedback surveys and focus groups
Contribute content forTe Kāhui publications i e stories, artwork or photos etc
8. CONDITIONSAND RESPONSIBILITIES
Applicants will be eligible to apply for another Kōrari Pāhake Hauora Grant the year following a successful application
9. POLICYOWNERAND REVIEW CYCLE
Responsibility for the implementation and delivery of this policy shall be by Te Kāhui o Taranaki Iwi, and shall be reviewed no less than once every 3 (three) years or as required
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hearing
costs ●
Decisions
correspondence
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Te Kāhui oTaranakiTrust | Kōrari Pāhake Hauora Grants Eligibility and Information 5
10. Notes Te Kāhui oTaranakiTrust | Kōrari Pāhake Hauora Grants Eligibility and Information 6
11. KŌRARI PĀHAKE HAUORAGRANTAPPLICATION
Taranaki Iwi Pāhake members aged 60 years and over are eligible for a Kōrari Pāhake Hauora Grant Designed to provide easy access to expertise, services and solutions to care for your hearing health and that of your whānau
Taranaki Iwi andTriton Hearing have formed a partnership to provide assistance of up to $1,000 towards Hearing (moulds, aids and hearing exams) (Surgery costs are not covered in any of the above treatments).
Applicants must meet the following criteria:
● Be registered withTe Kāhui oTaranaki and reside in New Zealand.
● The maximum grant amount available is $1,000 in any 12 month period
● Submit a fully completed application including all required information (incomplete applications will not be considered)
● Successful grant recipients can re apply for another grant after 12 months.
● The grant may be used only for hearing related costs
● Sole discretion to accept or decline a grant that does not meet criteria rests with us Decisions are final and no correspondence will be entered into.
Taranaki Iwi Charitable Trust is a registered entity in New Zealand Kōrari Pāhake Hauora Grants can only be approved for uri who reside in New Zealand The grant needs to be utilized with a New Zealand based service provider
PLEASE NOTE
Kōrari Pāhake Hauora Grant will be paid directly toTriton
PERSONALDETAILS
Full name
Date
Birth
of
Full PostalAddress Phone Number(s) Email address Iwi Registration number Signature ofApplicant Date Te Kāhui oTaranakiTrust | Kōrari Pāhake Hauora Grants Eligibility and Information 7
AGE RELATED HEALTH ISSUES
Our partnership agreements withTRITION HEARING, will enable our Pāhake to access support in the form of hearing aids if initial testing determines this need
Our GrantsTeam atTaranaki Iwi will touch base with you to confirm best location for appointment and any other remaining details The team will connect withTriton via phone or email to provide pre approval information Once confirmed, you will be able to go into the store to access this treatment
HEARING SUPPORT
As a part of our partnership withTriton hearing, Pāhake are able to receive a free initial hearing assessment and if required can be fitted with appropriate hearing aids
PRIVACYSTATEMENT
Your personal information is being collected so that we can consider your application, check it against the criteria, operate and administer the Kōrari Pāhake Hauora Grant programme, and for the other purposes set out in this application form
Please fill in ALL areas of this application form. If you do not provide the personal information as and when requested, we may not be able to consider your application and/or award you the grant In agreeing to the terms and conditions on this application form and submitting it to us, you authorise the release of, and use of, your personal information to and by our kaimahi for all the purposes set out in this application form.Your personal information and grant details may also be used and published by us for publicity and promotional purposes and successful applicants may also be contacted for evaluation and review
Your personal information will be collected and held byTaranaki Iwi CharitableTrust in accordance with the PrivacyAct 1993 If you wish to gain access to or request correction of your personal information please contact our privacy officer via email at admin@taranaki iwi nz or at our offices at 1Young Street, New Plymouth
DECLARATION
I declare that I am in need of financial assistance to alleviate aged related health issues I declare that the information given in this application is true and correct, and if my application is successful, I will comply with all the terms and conditions of the grant
Name ofApplicant:
Kāhui
Taranaki
Pāhake Hauora
Te
o
Trust | Kōrari
Grants Eligibility and Information 8
Signed by theApplicant: Date: CHECKLIST Please ensure you have completed the following: �� All details are completed �� Declaration is signed Please forward your application to the following by 5pm the last day of the month. Post to: Taranaki Iwi CharitableTrust PO Box 929 Taranaki Mail Centre New Plymouth 4340 Email: hauora@taranaki iwi nz OFFICE USE ONLY: Name: ............................................................................................................................ APPROVALSECTION Has the applicant received a Medical Grant this year? (1 July 30 June) Yes / No If yes, what was the grant for? Amount: ApprovedAmount: Approved by: Approval Number: Declined: Reason: Te Kāhui oTaranakiTrust | Kōrari Pāhake Hauora Grants Eligibility and Information 9
