MAYOR'S YOUTH ACHIEVEMENT SCHOLARSHIPS by lindayy

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									                 MAYOR’S YOUTH ACHIEVEMENT SCHOLARSHIPS


BACKGROUND:    The Cairns Regional Council Mayor’s Youth Achievement Fund was
               established in 1993. The Fund is totally sponsored by the community and
               businesses in the Cairns Regional Council region, who make donations
               towards the fund and who support our major fund raising events each year.

PURPOSE:       Scholarships are aimed at students whose final two years of high school are
               at risk due to genuine financial hardship. We offer scholarship awards to
               successful students in the expectation that our investment in them will be
               returned to either our local community or in a larger global context.

ELIGIBILITY:   To be eligible, applicants must be a student in either Year 11 or Year 12 in
               2010. They should demonstrate sound academic achievement and be in
               genuine financial hardship.

AWARDS:        Awards are tailor made to the needs of each applicant. For example, funds
               may be allocated to the payment of school/university fees, purchase of
               school uniforms, purchase of specific equipment (such as graphics
               calculators, computers etc), or for additional tutorial support, depending
               on the particular circumstances of the applicant. The financial assistance is
               not predetermined at any specific amount and different awards are offered
               to different applicants. Scholarships for university study will be held in
               Trust until the year of enrolment. Receipts, invoices or other suitable
               documentation are required as proof of expenditure or amounts due for
               payment in order to access scholarship funds.

SCHEDULE:      Applications must be received by Friday    26 February 2010.
TO APPLY:      Complete the application form including the checklist and declaration and
               forward in an envelope to:

                      PRIVATE & CONFIDENTIAL
                      Mrs Krystyn James
                      Office of the Mayor
                      Cairns Regional Council
                      PO Box 359
                      Cairns Qld 4870




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                                SCHOLARSHIP APPLICATION INSTRUCTIONS

•   Completed applications must reach the following address by          Friday 26 February
    2010.
                              PRIVATE & CONFIDENTIAL
                              Mrs Krystyn James
                              Office of the Mayor
                              Cairns Regional Council
                              PO Box 359
                              Cairns Qld 4870

•   A Committee will evaluate applications on their academic record and financial hardship.

•   Applicants should take particular care in stating their career goals, interests and
    achievements.

•   The completed and signed application must be accompanied by:


         1. The essay of goals, interests and achievements.
         2. Copies of school results for 2009.
         3. Statement of Parents/Guardians financial position.
•   Questions about applying to the Mayor’s Youth Achievement Scholarships should be directed
    to Mrs Krystyn James (email: k.james@cairns.qld.gov.au or telephone 07 4044 3083).

•   Applicants (who meet the criteria) and their parents/guardians will be invited to be
    interviewed by the Committee for the Mayor’s Youth Achievement Scholarship during
    March/April 2010.

•   Scholarship applicants will be notified of the committee’s decision by the end of April 2010.




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                                                          SCHOLARSHIP APPLICATION
                                                        FOR THE ACADEMIC YEAR 2010
APPLICANT INFORMATION:
(This section is to be completed by the student. Please complete all sections)

First Name



Surname



Date of Birth



Home Address



                                                                  Post Code
Postal Address



                                                                  Post Code
Home Telephone Number



Mobile Telephone Number



Email Address

School



School Year in 2010 (eg. Year 11 or
Year 12)
Part time or Casual employment
(what type of employment and who
is your employer)
Your income from part-time or
casual employment in 2009
Have received any other scholarships
or additional financial support for
2010. If yes, please give details:




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Essay of Goals, interests and achievements:
Please use the space below to tell us about yourself, your goals, interests and achievements (You may
attached additional sheets if there is insufficient space).




Please describe any educational disadvantage you may have had. This may include lack of financial
resources, personal circumstances or any other disadvantage that may be affecting your education.
(You may attach additional sheets if there is insufficient space).




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DECLARATION:

I wish to apply for a Cairns Regional Council Mayor’s Youth Achievement Scholarship and declare that the
information I have submitted is correct and complete. I understand that the Committee of the Mayor’s Youth
Achievement Scholarship reserves the right to vary or reverse any decision made on the basis of incorrect or
incomplete information.

I understand that in submitting this application the Cairns Regional Council Mayor’s Youth Achievement
Scholarship is collecting personal information from me, and that this is considered personal information for the
purposes of the Privacy and Personal Information Protection Act 1998. I understand that the purpose for
collecting the information is to enable my application to be considered and that the intended recipients of this
information are the Committee and administrative support staff of the Mayor’s Youth Achievement
Scholarship.

I understand that while the supply of information is voluntary, if I cannot provide or do not wish to provide the
information sought, it may be impossible to process my application.


o (please tick if you agree)    If I am successful in gaining a scholarship, I give consent to Cairns Regional
                                Council Mayor’s Youth Achievement Scholarship to use my information to
                                promote the scholarships. This may include photographs and information for
                                news articles/press releases.

Signature:


                         Signature of the Student                                           Date



CHECKLIST:
þ
o Have you completed everything on the form?
o Have you signed and dated the form?
o Have you ticked the consent box (above your signature)?
o Have you enclosed a copy of your school report for 2009?
o Have your parents/guardians completed everything on their section of the form?
oHave your parents/guardians signed and dated their section of the form?




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PARENTS/GUARDIAN INFORMATION:
(This section is to be completed by the parents/guardians of the student. Please complete all sections.)


NAME OF STUDENT:

            FATHER/GUARDIAN 1 DETAILS:                                                      MOTHER/GUARDIAN 2 DETAILS:
First Name                                                                 First Name

Surname                                                                    Surname

Marital Status                                                             Marital Status

Home Address                                                               Home Address


Postal Address                                                             Postal Address


Home Telephone                                                             Home Telephone

Mobile Telephone                                                           Mobile Telephone

Email                                                                      Email

Employer                                                                   Employer


Occupation                                                                 Occupation

Number & age of                                                            Number & age of
dependant children                                                         dependant children
Annual Income                   $                                          Annual Income (after $
(after tax)                                                                tax)

PARENTS/GUARDIANS FINANCIAL INFORMATION
Summary of Monthly Income:                                                 Summary of Monthly Commitments:
(that is: the money you receive)                                           (that is: money that you pay out as a regular commitment)


Monthly Income after tax:                                                  Monthly Home Mortgage or             $
                                                                           Home rent payments:
Father/Guardian 1          $                                               Personal loans or other loan
Mother/Guardian 2          $                                               repayments:                          $
Monthly Centrelink Income:                                                 Credit Card/Store Card
                                                                           payments:                            $
Father/Guardian 1                      $                                   Other payments (please
Mother/Guardian 2                      $                                   describe):                           $
Monthly other income                   $
(please describe):




Total Monthly income:                  $                                   Total Monthly                        $
                                                                           commitments:

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Exceptional Financial Hardship
(Only complete this section if you believe you can demonstrate exceptional financial hardship)
Describe any exceptional financial hardship you are experiencing and will continue to experience in 2010.




DECLARATION:

Please read and sign the following declaration:

I certify that the information supplied by me on this form is complete and true. I understand that in submitting
this application the Cairns Regional Council Mayor’s Youth Achievement Scholarship is collecting personal
information from me, and that this is considered personal information for the purposes of the Privacy and
Personal Information Protection Act 1998. I understand that the purpose for collecting the information is to
enable the named student to be considered for a Scholarship and that the intended recipients of this
information are the Committee and administrative support staff of the Mayor’s Youth Achievement
Scholarship.

I understand that while the supply of information is voluntary, if I cannot provide or do not wish to provide the
information sought, it may be impossible to process this application.

Signature:                                                                    Signature:

                        Father/Guardian 1                                                        Mother/Guardian 2
Date:                                                                         Date:



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