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Undergraduate Scholarship Application Form by HXd4G4NF

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									   LIVESTOCK INDUSTRY UNDERGRADUATE SCHOLARSHIP
                  APPLICATION FORM
Applications

All applicants are required to complete the appropriate application and referee forms, which can be
opened in Microsoft Word 2000 or later.

AWET requires:
      Five (5) hard copies of the application (A4 size, double-sided, unbound, no staples);
      Five (5) copies of academic transcripts – 1 certified and 4 copies (non-english transcripts
       must be translated);
      An electronic copy of the application emailed to dsauer2@une.edu.au (the file name should
       incorporate the applicant's name and the award type, e.g. Smith_Undergrad.doc);
      Only typed applications will be accepted; and
      Complete and sign the checklist on the final page of the application.

APPLICATIONS MUST BE SUBMITTED AS REQUESTED OTHERWISE THEY MAY NOT BE
ACCEPTED



Hard copies of the applications should be posted to:
Daphne Sauer
Scholarships Office
Lamble Building
University of New England
ARMIDALE NSW 2351


Applications close 26 October.       No late applications will be accepted.



Tips for completing the application form

To enter data, type into the grey areas.
For questions that require more than one line of information, the box will automatically extend as text
is entered.

If you have any problems completing the application form, please contact David Cottle
by email to dcottle@une.edu.au or Daphne Sauer by email to dsauer2@une.edu.au
                                                           APPLICANT DETAILS

First Name(s)                                                               Last Name

Date of Birth (dd/mm/yyyy)

Country of Birth

Address

Street

Suburb/Town                                                       State                             Postcode

Postal Address (if different from above)

PO Box

Suburb/Town                                                       State                             Postcode

Contact Details

Telephone                                    Mobile                                     Facsimile

e-mail

Present Occupation




                                                           RESIDENCY STATUS

Are you an Australian Citizen? (Yes/No)
(You must be an Australian Citizen or resident to be eligible for this scholarship)

Will you have lived in Australia continuously for 12 months prior to the closing submission date
of this application? (Yes/No/NA)

Has the Department of Immigration, Local Government and Ethnic Affairs granted you
permanent resident status? (Yes/No/NA)

Do you intend to reside in Australia after you have finished your studies? (Yes/No/NA)




                                                                                                               Page 2 of 7
                                                      PROPOSED PLACE OF STUDY

Name(s) of Institution                                                        Name of University Award (eg Bachelor of Agriculture)

1.

2.

3.

Have you received an early acceptance into any
institution/award? (Yes/No) If yes please state which institution
and award




                                                      SCHOOL ACADEMIC RECORD
  (A certified copy of your academic results must be provided as an attachment, including subjects studied for Year 12. Year 12 students
 should include a copy of their trial results and rank, signed by their Principal, if these results are available. Certified English translations of
                                         transcripts written in another language must also be provided)


Level Completed

School Attended




                                                      PREVIOUS TERTIARY STUDY
 (Please attach a certified copy of academic transcript. Certified English translations of transcripts written in another language must also be
                                                                    provided)


Place of Study

Degree Obtained

Date of Graduation




                                                                                                                                        Page 3 of 7
                                                       FINANCIAL SUPPORT

Do you currently hold an undergraduate student award (Yes/No) If Yes, please provide details below

                                                              Annual                                    Duration
Name of Award                                                 monetary                                  of award
                                                                                                        (start and
                                                              value                                     end dates)




Have you previously held an undergraduate student award? (Yes/No) If Yes, please provide details
below


                                                              Annual                                    Duration
Name of Award                                                 monetary                                  of award
                                                                                                        (start and
                                                              value                                     end dates)




Have you applied for any other awards for the 2010 academic year? (Yes/No) If Yes, please
provide details below


                                                              Annual                                    Duration
Name of Award                                                 monetary                                  of award
                                                                                                        (start and
                                                              value                                     end dates)




Are you receiving or are you eligible for government assistance? (Yes/No)
(eg Youth Allowance, Rent Assistance) If Yes, please provide details including fortnightly payment amounts




                                                                                                                     Page 4 of 7
                                                       SELECTION CRITERIA
               (Please outline in brief your statement of claim against each criterion. DO NOT attach additional information)

The successful applicant/s will be required to demonstrate a high level of inter-personal skills and ability to
communicate effectively (written and oral), a proven work ethic, demonstrated initiative and a commitment to
achieving goals.




The sponsors are seeking enthusiastic young people with a keen interest in pursuing a career in the livestock
industries and broader agriculture.




The successful applicant/s will have leadership skills, problem solving abilities and the capacity to adapt to new
situations.




The sponsors are seeking applicants with a demonstrated participation in extra curricular activities.




                                                                                                                                Page 5 of 7
                                                           REFEREE/S DETAILS

Please provide details of the referee who will support your application. Undergraduate scholarships and studentships
require 1 referee report to be completed.
Please arrange for a Confidential Referee Report to be forwarded direct to the Scholarships office by the referee who is able to assess your
academic ability.


Referee’s Name

Organisation

Position

Telephone                                           Mobile                                        Facsimile

e-mail




                                                                 FEEDBACK

To enable us to better promote these scholarships in the future, please indicate how you found out about the
Livestock Scholarship Program.

UNE Website                            University Scholarship Office                                University Faculty

D Cottle
                                       School Careers Advisor                                       Other (please state)
Website

Metro Paper                            Newspaper Special Feature                                    Rural Newspaper

(please specify)                       (please specify)                                             (please specify)




                                                                                                                                  Page 6 of 7
Application Checklist (mark each when completed)

    Application form - five (5) A4 double-sided, unbound hard copies of application.
    Academic Transcript - five (5) hard copies – 1 certified and 4 copies.
    Signed Trial results if available - five (5) hard copies.
    Electronic copy of application form in Word format emailed to dcottle@une.edu.au
    Confidential Academic Referee Form - five (5) copies of each, to be forwarded directly by
       referee to Daphne Sauer.

    Post hard copies by closing date.



I certify that all information completed in this application is true and correct.
I acknowledge that the application must be submitted as requested in the checklist or it will not be
considered eligible.
I give permission for my details to be used within activities of the program/s managing the
scholarships.




       Applicant’s signature:                                              Date:



                       APPLICATIONS CLOSE FRIDAY 26 OCTOBER
                       NO LATE APPLICATIONS WILL BE ACCEPTED




                                                                                              Page 7 of 7

								
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