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Telstra Health | Hayylo Innovation Fund Application Form
First name
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Last name
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Work Email
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Phone number
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State
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Job title
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What is the name of your organisation?
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What is your primary sector or focus?
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Please Select
Aged Care - Community Care
Aged Care - Residential Care
Aged Care - Mixed
Disability - Community Care
Disability - Mixed
Other
How many clients do you support on a regular monthly basis (estimate)?
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Why are you interested in this grant? What outcomes are you looking for?
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When are you interested in starting the project?
(this fund applies to projects commencing in the next 6 months)
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Day
/
Month
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Year
What are you average monthly call rates on your main customer facing phone number?
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What are the types of services that your teams provide to clients (Home Care Packages, CHSP, NDIS, etc)?
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How many sites does your company have?
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Submit