SCHOLARSHIP APPLICATION FORM9 City Road, Camperdown, NSW, 2050 | Telephone 61 2 9550 7451 | Facsimile 61 2 9519 7246 | Email registrar@stpauls.edu.au | ABN 62 627 137 646NOTE: This form does not constitute a general application to St Paul’s College. Applications for residency should be made separately using the appropriate application form.

Application year:

Applicant’s surname:

First name: Middle name:

Address:

Date of birth:

Mobile: Home phone:

Email:

Are you of Aboriginal or Torres Strait Islander descent? c Yes c No (Proof of Indigenous identity is required)

All STudENTS ApplyiNg FoR A SCholARShip muST uSE ThiS FoRm oNly(Including students currently in College,

Graduate/Post-Graduates, Undergraduates)

c All must complete PART A

c Graduates must complete PART B

c If you have a financial need complete PART C

Return application to the registrar by the LAST week IN NOveMbeR in the year PRIOR to the one you are applying for.

The Registrar CONFIDENTIAL SCHOLARSHIP APPLICATION St Paul’s College 9 City Road CAMPERDOWN NSW 2050

OR registrar@stpauls.edu.au

The College awards a significant number of scholarships each year, ranging from $1,000 to the equivalent of full residential fees for three years. You will be considered for all scholarships for which you are eligible.

All scholarships are awarded for 12 months in the first instance and some are renewable for a further two years. You must reapply each year for renewal. Renewal will normally depend on the scholarship holder maintaining a Distinction average.

Scholarship holders who leave the College to go on exchange will resume their scholarship on return.

Part

A –

For a

ll ap

plic

ants

please supply details including level of involvement in School, College and university (where applicable)

please list the name and value of any other awards currently held and/or for which you have applied.Scholarship Value Tenure c Applied c Held

c Applied c Held

c Applied c Held

c Applied c Held

leadership positions held (school leavers state last two years; students already in College list convenorships):

Cultural activities and achievements:

Sporting activities and achievements:

other interests and/or community involvement:

pERSoNAl STATEmENT in support of your application

i declare that the information above is correct to the best of my knowledge.

Signed: Date:

PART A – You must complete PART A

A. proposed or current course of study at Sydney university:Degree:

Commencement date: Completion date:

Is this a full-time degree with a research component?

B. Academic recordDegree 1:

University: Date:

Degree 2:

University: Date:

Awards:

ATAR: Year:

C. Research and professional employmentHonours or other thesis-based research

Main Thesis – title or subject:

Length: Mark:

You may also attach a list of any published works, academic papers presented and/or output in art or music in the relevant field of research within the last five years. If applicable, provide a summary of your employment and/or professional experience relevant to the research degree you wish to undertake.

AttachmentsThis application must be accompanied by the following:

c A transcript of all academic results

c A brief CV

c A personal and an academic reference

i declare that the information above is correct to the best of my knowledge.

Signed: Date:

Part

B –

Gra

duat

e/Po

st G

radu

ate PART b – Graduate/Post-Graduate applications only

if you would be unable to attend St paul’s College without scholarship or bursary assistance, please provide information regarding your family’s financial position.

1. What level of financial assistance do you require to enable you to continue at SPC? 25% c 50% c 75% c 100% c

2. Will you receive any government support for the year you are applying for? Yes c No c Austudy c Abstudy c Youth Allowance c Rental Assistance c Other c If yes, how much per fortnight? $

4. Do you expect funds from any of the following sources in the year you are applying for? a) University Scholarships or Grants Yes c per annum $ No c b) Parental or other contributions Yes c per fortnight $ No c

5. Will it be necessary for you to work to support your studies in the year you are applying for? Yes c No c If your answer is Yes, will you work: During Semester c Weekly hours: Fortnightly earned: $ During the vacation c

parent/guardian 1 (if applicable)

Full name: Title: Relationship to You:

Address

Postcode:

Telephone (home) Telephone (work):

Mobile: Facsimile:

Email address:

Occupation: Company name:

parent/guardian 2 (if applicable)

Full name: Title: Relationship to You:

Address:

Postcode:

Telephone (home): Telephone (work):

Mobile: Facsimile:

Email address:

Occupation: Company name:

What are the circumstances which support your claim of financial need?

please enclose relevant financial documents. (These will be CONFIDENTIAL)

i declare that the information above is correct to the best of my knowledge.

Signed: Date:

Part

C –

Fina

ncia

l nee

d PART C – Financial need CoNFidENTiAl