Mums Who Study Christmas Scholarship Application Form

Mums who Study Foundation

Christmas Scholarship Application Form
All information provided here should be true and accurate. Evidence of the data provided will be required.
Please read the Mums who Study Limited Scholarship Fund Policy prior to submitting your application. Applications will be accepted until 10 December 2020. Successful applicants will be notified on or before 20 December 2020.
Read and Understand the policy*

Yes, I have
Eligibility Criteria
2.1 Eligible Recipients
Scholarships, bursaries and prizes are open to women with children (mothers) undertaking higher education in an approved Australian tertiary institution who are:
(a) Australian citizens or permanent residents of Australia within the meaning of the Australian Citizenship Act 2007; and
(b) live in any State or Territory.
Are you a mother, caring for children in a mother-like role? (For the purposes of this application, a mother is defined as a woman who gives birth or who has the responsibility of physical and emotional care for specific children).*

YesNo
Are you an Australian citizen or permanent resident and currently residing in Australia?*

YesNo
Are you currently undertaking higher education in an approved Australian tertiary institution?*

YesNo
Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How many children do you have?
Information regarding ethnic origin, marital status and disability are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, area of study, etc.)
Do you have a disability?

YesNo
Are you an Australian citizen?

YesNo
Do you identify as Aboriginal or Torres Strait Islander?

YesNo
Status:

MarriedLiving with partnerSingleOther
Academic Information:

Tell us about your studies
Status at the time of application:

I am an undergraduate studentI am a postgraduate studentI study full timeI study part time
Name of Higher Education Institution:*
Please upload evidence of your application/currency of study.

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Major Area of Study:
Please upload a copy of your most recent academic transcipt.

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Expected Graduation Date:
Financial Information:
Please refer here for an explanation and the documents required as evidence of financial hardship.
Are you

currently receiving an eligible Centrelink benefitexpecting to receive an eligible Centrelink benefit on commencement of studyDependent whose parent or guardian is in receipt of: a) A Health Care Card with the student's name on it; or b) A payment listed in Financial Need Category 1A person whose income documents demonstrate financial hardship
Please upload evidence

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Cancelof
Further Information

In making its determination the Management Committee may give consideration to individual circumstances relating to the applicant’s dependents or evidence of adverse events that have significantly impacted academic performance.
Please tell us how this $250 Coles gift card would help you this Christmas:

0/500
Please provide the email address for someone we may contact as a professional or academic referee:
example@example.com
Do you have a relationship with anyone affiliated with Mums Who Study?

YesNo
If yes, name and relationship:
Applicant's E-Signature
By signing here, you are confirming that all the information provided in this form is true and accurate.
Signature

Clear
Should be Empty:

Mums who Study Foundation

Personal Data:

Academic Information:

Financial Information:

Further Information

Applicant's E-Signature