Scholarship Application Form Survey

1.Contact details

Name

Date of birth

Email

Mobile phone

Home phone

Student ID

Course:

Please select which scholarship(s) you intend to apply to:

2.Open

Ted Dimmick

N/A George Alexander (see website to apply - www.thegordon.edu.au/scholarships)

3.Age specific 24*

Kevin and Jo Boland

Geelong Community Foundation

4.Under 24

Marion and Ernie Speight

5.Access and Equity

Gordon Accessible Learning

Rotary Club of East Geelong

Gordon Wyndham Region

N/A Sisters of Charity Foundation - TAFE National Scholarship (see website to apply - www.thegordon.edu.au/scholarships)

7.Please explain your motivation for wanting to undertake this qualification and how this course will help you reach your career ambitions

8.Briefly outline your circumstances of financial hardship that you believe would make you eligible for this scholarship.

9.In addition to financial hardship, are there any other factors that disadvantage you or act as obstacles for you pursuing your studies (i.e.personal/family circumstances, disability, adversity, relocation, etc)? How have you overcome these in order to pursue your studies?

10.Please outline ways in which you have demonstrated initiative and commitment in your academic, professional and personal life (i.e. include past studies/courses successfully completed, past employment, community work, team sports, volunteer work, etc) that you think will assist you in the development of your career.

Financial Situation (documentary proof will be required to be provided at the time of interview)

11.Annual study costs (estimated)

Enrolment Fees (can be estimate if unknown)

Textbooks

Equipment materials

Total

12.Are you a diploma student receiving VET fee help?

Yes

No

13.Which best describes your living arrangements while studying? (please select all applicable boxes)

14.Income (per fortnight):

Austudy / Abstudy

Employment

From parents / family / spouse

Investments / business enterprise

Youth allowance

Family assistance payment

Sole parent pension

Disability support pension

Carer payment

Other

TOTAL fortnightly income

15.Expenditure (per fortnight):

Rent / board / accommodation

Travel costs (petrol, car parking, bus)

Daily living expenses (utilities - gas, electricity, food)

Dependents

Other

TOTAL fortnightly expenditure

Evidence to support application

Additional documents may be uploaded to support your application can be emailed to scholarships@gordontafe.edu.au
Documents may include: letter of reference from employer/school, academic transcripts, certificates of participation/achievement, resume and/or Centrelink statements/ health care card (proof of financial hardship).

16.Please include the names of two verbal referees:

Full name

Relationship to applicant

Email

Mobile phone

Home phone

Full name

Relationship to applicant

Email

Mobile phone

Home phone:

Referees must be known to you for a minimum of three months and can include current and/ or previous teachers and/ or employers. These people must be able to comment and give examples of how you meet the selection criteria of the scholarship and they will be contacted in support of your application.