Helpful hints

Please use this guide to help you fill in our request form.

To access our service, all social workers and Maternal and Child Health Nurses must be registered with St Kilda Mums.

If you are not yet registered, please register here prior to completing this form.

Please ensure that you complete one request form for each family.

For further assistance or for emergency requests, please contact the Social Service Team via email at request@stkildamums.org.

 

YOUR DETAILS

Q: Your name?

Please enter your full name including first name and surname. This should be the same name you used when you registered with us.

Q: Your organisation?

Please enter your organisation’s full name, do not put acronyms. 

Q: Your email?

Please enter the work email you used at registration - if you do not use your registered email address the form will not submit properly. 

Q: Your mobile number?

Please enter your work mobile number in full. If you do not have a mobile number please enter your work’s main office number.

FAMILY INFORMATION

Q: Mother’s full name (to prevent duplication of orders, the mother’s name is preferred)

Please enter the first name and surname for the mother of the child/children. This collection of personal information will be stored securely as required under the Australian Privacy Act. This is important for us to detect and prevent duplication of orders. 

Q: What local government area (LGA) does this family live in?

Please click on the text box and choose LGA.

Q: Does this family identify as Aboriginal or Torres Strait Islander?

Click on the text box and select the correct option.

Q: Does the family have a Health Care Card?

Please select Yes or No. This does not effect eligibility for our service.

Q: What are the causes of disadvantage for this family? You may select multiple items by holding down your Ctrl or command key on your keyboard.

Please click on the text box, select the cause from the list available. You may select more than one by holding down your Ctrl or command key on your keyboard. If you have selected ‘other’, please use the comment box to provide another cause for disadvantage.

Q: Is DHHS involved with this family/child?

Please select Yes or No. This does not effect eligibility for our service.

Q: Is this family connected with other support services, if so who?

Please enter the other service(s) that this family is supported by. For example, Child Protection might also be supporting this family.

Q: What is the due date of baby or birth date of the youngest child? (Please write dd/mm/yyyy)

Please enter the day, month and year of the due date or the birth date of the youngest child in the family. Please ensure that it is entered in the format as requested above.

Q: Baby or youngest child's gender?

Please select the option that applies to the youngest child. If there are twins, please select twins and let us know the gender of them in the further notes or comments box located at the end of this form.

Q: How many children are there in this family in total?

Please enter the total number of babies (under 12 months of age) and children in this family, including baby or babies due to be born. For example, mum is 11 weeks pregnant, there is a two-year-old boy, seven year old girl and 12 year old girl. Please enter four children.

Q: How many are we directly supporting with this request (including babies due to be born)? 

Please enter the number of children in the family who will be receiving items from this request. 

Q: How many are younger than 12 months (including the one(s) due)?

Please enter the number of babies, under 12 months of age in this family. This is to also include any babies yet to be born. For example there are two babies (twins) 11 months old, mum is eight weeks pregnant. So please enter three babies.

Q: What are the age(s) and gender of the older siblings? (Please write G5, B6, etc)

Please enter the age and gender of children (older than 12 months) for the family you are requesting for. For example if there is a 1 year-old boy and three year-old girl please enter – B1 and G3. 

ITEMS REQUIRED

If an item is not required just leave it blank.

Q: Cot or bassinet

Please note that cots are recommended from birth, and bassinets only last until the baby can roll, which can be as young as 10 weeks. Please select either cot or bassinet (not both) and enter the number that this family needs.

Q: Pram

Please enter 1 in the type of pram this family would prefer. 

Q: Car restraint

Please enter 1 next to the type of car restraint this family needs. If you need more than one car restraint (for siblings or multiples) please enter the relevant number next to each type. Please note we can only provide one per child. 

It is the law for all children up to the age of 7 to be in a child restraint or booster seat when travelling in a vehicle. Choosing the right child restraint for a child will depend on their age and size. 

To keep a child safe, the restraint must also be properly adjusted, fastened, and fitted to the vehicle. More information is available from the Vic Roads website.

All St Kilda Mums car restraints have tether straps and come with a Hire for Baby voucher, which is a free service available for each car restraint to ensure fitting is completed by a trained professional. 

Carseat types

Q: Other items

Please enter 1 next to any required items. Please note we rely on donations, so we cannot guarantee supply but we'll do our best.

If you select nappies please tell us which size(s) you require. If not required, just leave blank.

Please note that the nappy sizes listed below are a guide only, so to ensure the correct size(s) is provided please obtain accurate sizing from your families.

  • Newborn (up to 4kg)
  • Infant (4 to 8kg)
  • Crawler (6 to 11kg)
  • Toddler (10 to 15kg)
  • Walker (14 to 18kg)
  • Junior (16kg+)

We also have pull-ups available for older children.

Q: Clothing bags 

Please enter the number of bags required per size and gender. Please note the clothing bags contain 80-100 items.

Please note that although we officially only go up to size 12 in children’s clothing, we occasionally have clothing from size 13 to size 16 (children). If required, please record in the further notes or comments box located at the end of this form.

Q: Linen bags

Please enter the number of bags required. These include wraps and sleeping bags. 

Q: Shoes

Here is a standard shoe size chart that we hope will assist you in selecting the correct shoe sizes.

 

Child shoe size conversion table
(2 - 6 years old) 

AU/UK

US

EURO

CM

C5

6

22

13

C6

7

23

14

C7

8

24

14.6

C8

9

25

15.6

C9

10

27

16.5

C10

11

28

17.1

C11

12

29

18.4

C12

13

30

19.1

C13

14

32

20.6

 

Youth shoe size conversion table
(7 - 15 years old) 

AU/UK

US

EURO

CM

Y1

2

33

20.6

Y2

3

34

21.6

Y3

4

35

22.2

Y4

5

36

23.2

Y5

6

37

24.1

Y6

7

38

24.8

Y7

8

39

25.5

 

Q: Do you have any further notes or comments about this request?

Please click on this text box to enter any further information you can provide about your request or for any additional needs.

Q: Please confirm that you agree with the terms of our Service Policy?

Please read our service policy if you haven’t already, and click on the text box to select Yes. 

Q. Opening times

Please read the opening times information and enter your preferred collection date. 

Don't forget to click the Submit button at the end of the form!