Geoff Brooks Memorial Scholarship – Ballarat Clarendon College

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date of Birth*

Year level in 2024*

Gender*

Day Student or Boarder*

Current School*

Parent/Guardian 1 Name*

Prefix First Last

Parent/Guardian 1 Phone*

Parent/Guardian 1 Email*

Parent/Guardian 2 Name*

Prefix First Last

Parent/Guardian 2 Phone*

Parent/Guardian 2 Email*

Referee 1 Name*

Prefix First Last

Referee 1 Phone*

Referee 2 Name*

Prefix First Last

Referee 2 Phone*

In 200 words or less, tell us about yourself*

What is your idea of community and do you think it is important? Why?*

How have you been part of your local or broader community?*

Of those you admire amongst your friends, peers, teachers or other people you look up to in your life, why do they stand out to you and which of their values do you admire?*

Have you ever undertaken any activities that required encouraging others to participate and if so, how did you go about getting them involved?*

Details of other activities which you believe support your application for the Geoff Brooks Memorial Scholarship*

What subjects do you enjoy the most at school and why?*

Which of these do you think you might like to continue with in some way in a career and why?*

Of all the sports you have ever played, which did you enjoy the most and why?*

What are the key elements in good teamwork for you?*

Documents required*: Please submit Semester 2 2022 full school report*

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Max. file size: 80 MB.

Please submit 2022 Naplan results*

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Max. file size: 80 MB.

Please submit any other relevant documents you believe support the application (Eg. certificates, awards, articles, qualifications, recommendation letters).

Drop files here or

Max. file size: 80 MB.