EmailMe Form - Semester 2 2021 South Regional TAFE Scholarships

Student Name *

First Last

Office Use Only

Student Number

Student ID

Postal Address *

Email *

Mobile Phone Number *

Bank details: BSB and account number for scholarship funds if successful *

BSB

*

Account Number

Course enrolled in semester 2, 2021 *

I would like to apply for:

Jack Family Trust - Full time Students in any course at either Albany, Denmark or Katanning campus

Denmark Music Foundation - Full time Students studying the Diploma of Music at the Denmark campus

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 *

Age of all dependants 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 bank statements, payslips, Centrelink Income Statement 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.
- Selection panel decisions cannot be appealed and no correspondence concerning decisions will be entered into.
- The scholarship is not transferable and is for Semester 2, 2021.
- Incomplete applications will not be considered.

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

Bank details listed on application

Signature of applicant *

Clear