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Clarendon Aboriginal and Torres Strait Islander Scholarships
I/We have read the accompanying general information regarding this scholarship including scholarship structure, eligibility and criteria.
(Required)
Yes
No
Student's legal name on birth certificate
(Required)
First
Last
Student's preferred name
Student date of birth
(Required)
DD slash MM slash YYYY
Student home address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Are you of Aboriginal and or Torres Strait Islander descent?
(Required)
Aboriginal
Torres Strait Islander
Both
Please attach relevant documentation providing proof.
(Required)
Drop files here or
Select files
Max. file size: 128 MB.
Do you speak a language other than English? If Yes, please specify which language.
Current school
(Required)
Year level in 2024
(Required)
Year 7
Year 8
Year 9
Year 10
Do you have a school attendance rate of 85% or more?
(Required)
Yes
No
Please provide attendance information from your school Principal.
Drop files here or
Select files
Max. file size: 128 MB.
Please attach NAPLAN documentation for Years 3, 5 (and 7) if applicable.
Drop files here or
Select files
Max. file size: 128 MB.
Please attach most recent full semester school report
Drop files here or
Select files
Max. file size: 128 MB.
Please attach a reference from your current school Principal, including details of attendance.
Drop files here or
Select files
Max. file size: 128 MB.
Please upload your personal handwritten statement here.
Drop files here or
Select files
Max. file size: 128 MB.
Parent and or Guardian support consent
Parent/Guardian Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Relationship to applicant
(Required)
Parent/Guardian home address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Parent/Guardian Phone
(Required)
Email
(Required)
Are you of Aboriginal and or Torres Strait Islander descent?
(Required)
No
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, both Aboriginal and Torres Strait Islander
Do you speak a language other than English? If Yes, please specify which language.
A requirement of the application process is that applicants attend a meeting at Ballarat Clarendon College with a parent and or guardian. Do you agree to attend this meeting?
(Required)
Yes
No
Parent and or Guardian and Applicant's signature
I/We confirm that the information in this form is true and complete.
(Required)
Yes
No
Student name
(Required)
First
Last
Date
(Required)
DD slash MM slash YYYY
Name of Parent/Guardian
(Required)
First
Last
Date
(Required)
DD slash MM slash YYYY
