Application for Undergraduate Academic & Equity Scholarships

Transcription

1 Please record your name and your UC/QTC application number below: Name * : UC/QTC No: UNE Student No: Please note: Fields marked with an asterisk ( * ) are required fields. STUDENTS You need to fill in the first part of the form ie,, and it to your school, who will complete the form and submit it to UNE on your behalf:: 1. Open the PDF document. 2. Save it to your computer with your family name (surname) and first name in the format familyname-firstname.pdf. 3. Complete all of, and click Submit. 4. You will be prompted to choose an option for sending the either an application (such as Outlook) or webmail (gmail or hotmail). lternatively, open a new and attach the document that you have saved to your computer. 5. Send the to the address provided by your School. NB: If you cannot see a SUBMIT button or are having trouble submitting the form, open your program (eg Outlook) or webmail (eg gmail), attach the saved form along with any supporting documents and send to the address provided by your school. Closing date: 31 December Before you start, Save s family name-first name.pdf. Personal Details Title: First Name * : Middle Name: Family Name * : Gender: Date of Birth * : Day / Month / Year Home ddress * : Town/City * : State * : Postcode * : Postal ddress (If different from above): Town/City * : State * : Postcode * : Telephone No * : Mobile No: address (your personal ) * : Have you registered with UNE online at une.edu.au/askune? re you an ustralian citizen? Equity and Disadvantaged Groups Is your home address in a regional or remote area as defined by: Do you identify as an boriginal or Torres Strait Islander? re you an international student? Part Page 1 of 6

2 Schooling School/College Name * : Town/City: State: Postcode: What year did you complete year 12? * : (Note: Gap Year students are only eligible to apply for scholarships if they have not done any university study since completing Year 12.) Study Options From the course and unit catalogue, please list up to three UNE courses, in order of preference, you are applying for: 1. Bachelor of * : 2. Bachelor of * : 3. Bachelor of * : Select Your Scholarship You may apply for more than one scholarship. Information on each scholarship can be found at une.edu.au/scholarships Please select the scholarship(s) you wish to apply for. cademic Scholarships The William McIlrath Rural Scholarship Vincent Murphy/UNE Country Scholarship Other Scholarship Other Scholarship Other Scholarship Equity and Disadvantaged Group Scholarships The Duncan Family Scholarship in Early Childhood Education Ella Schroder Indigenous Residential Scholarship Max Schroder Scholarship Quota International of rmidale Inc. Scholarship Other Other Other You must provide a separate statement as required in the Terms and Conditions of the scholarship. Please include your full name and UC/QTC application number. Part Page 2 of 6

3 Personal ttributes Please tell us why you have chosen the degree/s you listed in Study Options. (300 words or less) cademic chievements. Please list in point form any recent academic achievements you wish to bring to the attention of the Undergraduate Scholarships Committee. (300 words or less) Other chievements. Please list other things you think might be relevant to your application, eg recent participation and leadership in school and community activities, employment etc. (300 words or less) Part Page 3 of 6

4 Equity and Disadvantaged Group Scholarships If you are applying for an Equity and Disadvantaged Group Scholarship, please answer the questions below. How would you benefit from the funds if successful? (300 words or less) Have you overcome any obstacles in your path to study? (300 words or less) Please Note: If you are applying for an Equity and Disadvantaged Group Scholarship, you must provide supporting documentation to demonstrate financial need. Supporting Documentation may include one of the following (please attach): a copy of your Centrelink statement or parent/s or guardian/s most recent Income Tax Return (if dependent) or your most recent Income Tax Return (if independent) letter from an authorised person (eg school principal, minister of religion, accountant) that comments on your financial circumstances. Checklist for students Have all relevant sections of the form been completed? Have you applied for a place in a UNE course either directly to UNE or through UC or QTC? Is your name and UC or QTC number written on the first page of this application? Have you included all supplementary documentation or statements required? NOTE: Missing documents may mean your application is not processed on time. Part Page 4 of 6

5 Declaration I declare that all the information submitted is correct and complete. To submit your application Save your completed form as Family Name-First Name.pdf eg Citizen-Sally.pdf Please click the SUBMIT button to open a new . Check your application appears as an attachment in the . Enter the address provided by your school. Ensure any supplementary documents are attached. Send the application. Send the application to your school with a request to complete Part B, and to submit the application to UNE on your behalf. If you have any questions or need assistance contact the UNE Future Students Team on or Scholarships Team Student Central Closing Date: 31 December 2017 Privacy Statement The information provided on this application form is being collected to assess your application for a UNE undergraduate scholarship. This information will be processed by the Scholarships Officer, dmissions Officer and/or relevant faculty staff and supplied to the Undergraduate Scholarships Committee. If you are offered a scholarship, this information, together with any additional information provided to support your application will be retained for administrative purposes. The supply of this information by you is voluntary, however if you do not supply all the requested information we may not be able to assess your application. You have the right to access and/or correct any of your personal information held by the University, subject to the reasonable convenience of the University. UNE s privacy policy can be found on the web at or can be provided on request. Part Page 5 of 6

6 Principal s Report and Recommendation for Undergraduate cademic & Equity Scholarships B SCHOOLS For all applications: On receipt of the PDF document from your student, please save it and name the file using the student s family name and first name in the format familyname-firstname.pdf Schools need to complete B only. To lodge a single application: 1. Once B is completed, resave the form and click on the SUBMIT button. This will open a new ttach any supporting documents to the and send it to scholarships@une.edu.au s must come from an authorised school address. NB: If you cannot see a SUBMIT button or are having trouble submitting the form, open your program (eg Outlook) and attach the saved form along with any supporting documents and send to scholarships@une.edu.au To lodge multiple applications: 1. Once you have completed B and saved all completed application forms to your computer, open your program. 2. ttach all applications and supporting documents to a single message, and send to scholarships@une.edu.au Please complete this reference following the student s completion of their application(s). (To be completed by Career/Year dviser in consultation with the Principal.) 1. pplicant s Personal ttributes (based on the applicant s attributes, please select the most appropriate description) Scholarships are awarded to students who demonstrate a level of academic achievement, a record of involvement and leadership in school affairs and the community through volunteer work or other associations and/or work and commitment to the proposed course of study. The applicant has an academic record that is: Please choose: Based on the applicant s personal qualities and potential for success at tertiary study, the support given is: Please choose: Based on the applicant s record of involvement in school affairs and the community through volunteer work or other associations, and/or work, the support given is: Please choose: 2. Other relevant information Please provide any other relevant comments. (300 words or less) Part B Page 1 of 2

7 Principal s Report and Recommendation for Undergraduate cademic & Equity Scholarships B Checklist for schools re all relevant sections of the form completed? Has the student s name and UC or QTC number (if available) been written on the first page of this application? Principal/uthorised Officer Details Name: Position: School Name: School ddress: School Phone No: Information for School Staff To submit this application Please click the SUBMIT button to open a new this will be automatically addressed to the UNE scholarships team at scholarships@une.edu.au Check the application appears as an attachment in the . Ensure any supporting documents provided by the student are attached to your . Send the application. If you have any questions or need assistance contact the UNE Future Students Team on Closing Date: 31 December Part B Page 2 of 2