SCHOLARSHIP FORM

APPLICATION FOR ALL AWARDS AND BURSARIES

Due to the generosity of the St Ann’s College benefactors, over $90,000 in scholarships and bursaries are offered to new and returning students each year.

Scholarship applications can be sent in as soon as possible but must be received by January 20 for assessment by the scholarship committee.

Application for *

You are a *

Name *

First

Last

Email *

Phone

Mobile *

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Proposed/enrolled degree *

Institution *

First in family to attend University *

Gender *

Do you identify as Aboriginal and/or Torres Strait Islander?

ATAR

ATAR with Bonus Points

Number of siblings and ages

Secondary school/s attended *

Years attended

Year 12 subjects and grades

Other Awards/Scholarships held

Personal interests and achievements: (academic, sporting, musical, leadership, community work)

FINANCIAL DETAILS (Optional) To be considered for a financial based scholarship please provide the following details:

Who is paying for your College semester fees? *

I am in receipt or expect to receive Youth Allowance per year of

Additional income per year (eg: external scholarships, employment)

I expect financial assistance per year from my parents to the extent of

Joint parental/guardian income per financial year

Gross

Joint parental/guardian income per financial year - Net

Net

Other relevant considerations or special circumstances

I understand that this application is only confirmed if a confirmation email is received. *

I have read and agree with the above.