Scholarship Application Form Question Title * 1. Contact details Name Date of birth Email Mobile phone Home phone Student ID Course: OK Please select which scholarship(s) you intend to apply to: OK Question Title * 2. Open Ted Dimmick N/A George Alexander (see website to apply - www.thegordon.edu.au/scholarships) OK Question Title * 3. Age specific 24* Kevin and Jo Boland Geelong Community Foundation OK Question Title * 4. Under 24 Marion and Ernie Speight OK Question Title * 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) OK Question Title * 6. Course / Industry Specific Gordon Financial Services (accounting) Community Care Chemist (accounting) Powercor (females only) Middy's (electrical pre-apprentice) Kinetic IT (ICT) Dow Chemical (lab tech, horticulture and CLM) Geelong Galvanizing (building and metal trades) Shojun Concrete (building trades) Gordon Building and Construction Gordon Beauty Therapy Gordon Automotive The Werribee Rotary Scholarship (Apprentices attending Hoppers Crossing) OK Question Title * 7. Please explain your motivation for wanting to undertake this qualification and how this course will help you reach your career ambitions OK Question Title * 8. Briefly outline your circumstances of financial hardship that you believe would make you eligible for this scholarship. OK Question Title * 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? OK Question Title * 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. OK Financial Situation (documentary proof will be required to be provided at the time of interview) OK Question Title * 11. Annual study costs (estimated) Enrolment Fees (can be estimate if unknown) Textbooks Equipment materials Total OK Question Title * 12. Are you a diploma student receiving VET fee help? Yes No OK Question Title * 13. Which best describes your living arrangements while studying? (please select all applicable boxes) Living at home, supported by family Living at home; financially independent Living away from home, support by family Living away from home, financially independent Living on student residence Single Dependents Partnered Number of dependents (in your care) OK Question Title * 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 OK Question Title * 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 OK Evidence to support applicationAdditional documents may be uploaded to support your application can be emailed to scholarships@gordontafe.edu.auDocuments 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). OK Question Title * 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: OK 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. OK Question Title * 17. How did you hear about this scholarship? Promotional material at TAFE Word of mouth Teacher / staff member Email SMS Website OK DONE