Edith Cowan University Western Australia - World Ready



Dr John Woolcott ScholarshipApplication FormAll questions on the application form must be completed and ALL supporting documentation including written statement must be provided where indicated otherwise the application may not be considered.Please ensure that your correspondence address details are updated on SIMOStudent ID:Click here to enter text.First Name:Click here to enter text.Surname:Click here to enter text.Mobile No:Click here to enter text.Student EmailClick here to enter text.Are you an Australian Citizen or an Australian Permanent Resident? ? Yes? No – you are ineligible for this scholarshipIn which ECU course are you currently enrolled?Bachelor of Health Science – All Majors?Bachelor of Science (Nursing)?Bachelor of Science (Nursing) and Bachelor of Science (Midwifery) - double degree?Bachelor of Science (Paramedical Science)?None of the above – Sorry you are ineligible for this scholarship ?Have you completed at least 4 units (60credit points) in this course and your current course average is at least 70%?Yes?No – you are ineligible for this scholarshipHave you previously completed a bachelor degree at ECU or another university?? Yes – Sorry you are ineligible for this scholarship?NoAre you currently receiving any educational subsidy from your employer? If yes - Please specify: ?Yes ?No Are you currently receiving any other scholarship or similar award? If yes - Please specify?Yes ?NoAre you currently receiving an allowance payment from Centrelink such as Youth Allowance, Austudy, and Abstudy etc.? ?No – go to Q7?Yes - Complete a Centrelink Consent FormIf you are not in receipt of a Centrelink allowance as per Q6, please provide the figure for the Gross Annual household Income. Please note that the figure you provide must include the income of all members of your household who are eligible to complete a tax return i.e. partners and parents. Breakdown and total Gross Annual Income for your householdYours: $ Click here to enter text.Partner: $ Click here to enter text.Parents: $ Click here to enter text.Other: $ Click here to enter text.Total: $ Click here to enter text.Have you previously been awarded the Dr John Woolcott Scholarship??Yes - you are ineligible for this scholarship? NoWritten Statement Please attach a written statement (approx. 1 x A4 page) outlining:Your personal circumstances, indicating any current financial disadvantage. Checklist – Please tick to indicate that you have attached the following supporting documentation (where applicable) to this application form. Failure to provide supporting documentation may affect you receiving a scholarship offer. Evidence of Australian Citizenship or permanent resident status (i.e. birth certificate / passport/visa or citizenship certificate) (Q1)?Completed Centrelink Customer Consent form (Question 6 ) ?Copies of most recent tax returns from all relevant household members(Q7)?A copy of your last semester results?A written statement as outlined above. (Question 9)?All information provided in this application will be treated as confidentialDeclarationI declare that the information I have supplied on this form and in associated attachments is complete, true and correct, to the best of my knowledge. I understand that if any information is found to be incorrect, my application may be cancelled. Click here to enter text.Click here to enter a date.Signature of ApplicantDateCompleted application forms & associated documentation should be forwarded to:Scholarships OfficeEdith Cowan University270 Joondalup DriveJoondalup WA 6027Ph: (08) 6304 3636Email : scholarships@ecu.edu.au ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download