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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
Legal name on birth certificate
Student's preferred name
Date of birth
Home address
Are you of Aboriginal and or Torres Strait Islander descent?
Aboriginal
Torres Strait Islander
Both
Please attach relevant documentation providing proof.
Drop files here or
Select files
Max. file size: 80 MB.
Do you speak a language other than English? If Yes, please specify which language.
Current school
Current year level
Do you have a school attendance rate of 85% or more?
Yes
No
Please provide attendance information from your school Principal.
Drop files here or
Select files
Max. file size: 80 MB.
Please attach NAPLAN documentation for Years 3, 5 (and 7) if applicable.
Drop files here or
Select files
Max. file size: 80 MB.
Please attach a reference from your current school Principal, including details of attendance.
Drop files here or
Select files
Max. file size: 80 MB.
Please upload your personal handwritten statement here.
Drop files here or
Select files
Max. file size: 80 MB.
Parent and or Guardian support consent
Name
Relationship to applicant
Home address
Phone
Email
Are you of Aboriginal and or Torres Strait Islander descent?
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.
File
Max. file size: 80 MB.
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?
Yes
No
Parent and or Guardian and Applicant's signature
I/We confirm that the information in this form is true and complete.
Yes
No
Name (Student)
Date
Name (Parent/Guardian)
Date
Section Break
