EmailMe Form - Semester 1 2026 South Regional TAFE Scholarships

Student Name *

First Last

Student Number

Student ID

Postal Address *

Email *

Mobile Phone Number *

Course enrolled in semester 1, 2026 *

I would like to apply for:

Jack Family Charitable Trust - Full time students enrolled in any course at either Albany, Denmark, Katanning or Mount Barker campus.

Campus Attending *

Albany

Katanning

Denmark

Mount Barker

Explain why you have selected this course, and what you hope to achieve by completing the course. *

Provide reasons for requesting financial assistance from this scholarship. *

Ages of all dependents in your care.

Have you applied for financial assistance for this course from another source? *

Yes

No

If yes, who did you apply to for assistance?

What is your fortnightly nett income total? *

This includes wages, Centrelink and family support.

What is your fortnightly expenditure total? *

Uploads include current bank statements, payslips, Centrelink Income Statements and other documents to support your application. If you require assistance to upload documents please contact Student Services 6371 3890. *

Any further information you would like to advise regarding your application for financial assistance from a student scholarship?

*

In applying for a scholarship, I understand and accept the conditions listed below:

- Scholarships are not available to South Regional TAFE employees, their immediate families or associates.
- Students must be full time and attending either the Albany, Denmark, Katanning or Mt Barker South Regional TAFE campus.
- Selection panel decisions cannot be appealed and no correspondence concerning decisions will be entered into.
- The scholarship is not transferable and is for Semester 1, 2026.
- Incomplete applications will not be considered.
- The awarding of scholarships is based on the information provided to South Regional TAFE. The scholarship may be withdrawn at any stage if it is found you have provided incorrect, false or misleading information or withheld relevant information.

In applying for this scholarship, I grant copyright to South Regional TAFE and permission to use any photographs, video, audio or digital images of myself in institute publications, community newspapers, the press and other media, banners, brochures, promotional materials and presentations.

Checklist: *

All questions answered

Financial evidence attached

Signature of applicant *

Clear