EmailMe Form - 2025 Expression of interest (NCP Scholarship)

Name *

First Last

Student number *

Gender *

Date of Birth *

DD / MM / YYYY

Please note preference is given to students aged 18 to 30 years of age as at 1 January 2024 for non-Indigenous applicants and

Mobile phone number *

Email *

Which city do you live in? *

Which degree are you studying at CDU? *

Are you of Aboriginal and/or Torres Strait Islander origin? *

Are you an Australian Citizen? *

If 'Yes', do you have a dual citizenship, permanent residency or similar in another country?

Country of dual-citizenship

Assessment criteria

Please answer the questions below

Criterion 1: Academic excellence at the tertiary level (25 per cent weighting)

Assessment of this criterion will relate to the applicant’s demonstrated higher-order cognitive skills, creativity, innovation, communication skills, problem-solving skills and critical thinking skills in their university study. Applicants may also draw on academic achievements such as academic awards and commendations, publications, or other examples of academic excellence at the tertiary level. High school academic achievements will not be considered. *

Criterion 2: Leadership and engagement in the community (25 per cent weighting)

Assessment of this criterion will relate to the applicant’s demonstrated leadership and engagement in the community, including in volunteer and not-for-profit roles, employment and/or other activities they have undertaken locally, nationally, overseas and/or at their university. Applicants should provide an example of a leadership role they have undertaken. *

Criterion 3: Adaptability and resilience (25 per cent weighting)

Assessment of this criterion will relate to the applicant’s demonstrated ability to adapt to change and thrive in a different environment, and their resilience in the face of challenges. *

Criterion 4: Ability to contribute to NCP’s strategic objective and outcomes (25 per cent weighting)

Assessment of this criterion will relate to the applicant’s demonstrated understanding of the strategic objective and outcomes of the NCP program, and how the applicant and their proposed scholarship program would contribute to the NCP strategic objective and outcomes, including on return to Australia. *

Which is your preferred country in Indo-Pacific to spend a semester exchange? *

My application has been endorsed by Course Coordinator (upload signed form) *

Yes

No

Approval from Course Coordinator - Signed Form

Declaration and consent

I 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.

Please be aware that your personal information will be disclosed to the Department of Foreign Affairs and Trade for the purposes of the New Colombo Plan Scholarship Program. Please read the privacy section (13.3) of the guidelines.

I give my consent to Charles Darwin University to use and/or disclose my application and all supporting documents to the external scholarship provider for the purpose of shortlisting and selection.

Signature *

Clear

Date Time *

DD / MM / YYYY