2025 Ken Lucas & Fred Bloch Scholarship Application Form

2025 Ken Lucas & Fred Bloch Scholarship Application Form

First Round - Application Deadline - Monday March 31, 2025
Read and follow the AUFC scholarship instructions carefully prior to submitting your application. All successful applicants will be notified on or before the 3rd of April 2025.
Read and Understand the instructions.*

Yes, I have
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalisation and punctuation.
1. Personal Information

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*

Australia +61Phone Number
E-mail :*
Where the confirmation email will be send to
Home Address :*

Street Address

Street Address Line 2

SuburbState

Post CodeCountry
Gender:*

MaleFemale
What is your area of study?*
What university, college or other education institution are you enrolled at proceeding towards a degree, diploma or other qualification*
Other education institution (if applicable)
What is your career objective?

0/300
2. General Information:
Tell us a little about yourself - history generally rural/metro/residential college/junior football

0/300
Academic course enrolled in?*
Are you studying a full time load?*
What is your student number?*
What is your grade point average for your study to date (if relevant)?
Do you already have a recognised educational qualification? If yes, what is it?
Have you received any academic awards for your study to date?
3. Sporting Information
What is your sporting history?

0/200
What has been your sporting achievements to date?

0/100
4. Personal Achievements
Outside of sport what other achievements have you had?

0/300
Have you had any leadership roles, if yes, what were they?

0/300
Have you undertaken any voluntary / community work / Involvement?

0/300
5. AUFC Information
What grade have you played in, if any for AUFC?
What engagement have you had with AUFC to date including voluntary work / support?

0/300
What is you sporting ambitions with AUFC?

0/300
6. General Ambitions
What are your personal and professional ambitions?

0/300
7. References
Please provide two references. One reference is to be from an AUFC member and the other is to be someone else.
AUFC Member Reference*

Browse Files

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Other Reference*

Browse Files

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8. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Should be Empty:

2025 Ken Lucas & Fred Bloch Scholarship Application Form

1. Personal Information

2. General Information:

3. Sporting Information

4. Personal Achievements

5. AUFC Information

6. General Ambitions

7. References

8. Applicant's E-Signature