Central Coast NSW Legacy

Central Coast NSW Legacy

Scholarship Application Form
I intend to study at:*

Local TAFEUniversityPrivate CollegeOther
My attendance pattern will be:*

Full-timePart-timeShort courseOnline/distance learning
Part A: Your details

Let's learn a little more about you.
Given Name(s)*
Last Name*
Date of Birth*

MonthDayYear
Date
Residential Address*

Street Address

Street Address Line 2

SuburbState

Postcode
E-mail Address*
Contact Number*
If you're currently studying, please include your student number (if applicable)
Please explain how you are a direct descendant of a veteran or a former member of the Australian Defence Force (Australian Army, Navy or Air-Force), with one of more years continuous service

0/150
Please upload the veteran's Discharge Certificate or Statement of Service. If they had operational service, you can find this at: https://nominal-rolls.dva.gov.au/

Browse Files

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Are you classified as financially disadvantaged?*

YesNo
*Please note, Central Coast NSW Legacy scholarships are offered to applicants who are in a position of financial disadvantage or need and that have a connection to an ex-serving veteran. If your application is considered, we will ask for evidence of your need for financial assistance and your family connection. Please refer to the Terms and Conditions for more information.
Part B: About your chosen career or area of study

Tell us more about your career plans
Tell us a little bit about yourself (include any special circumstances you wish to be taken into account, eg. financial disadvantage, family situation, disability, etc)*
What would you like to study specifically and why? (Please provide the name of your chosen course of study and the institution/university you wish to attend).
Tell us where you see yourself in five years' time.
Tell us how this scholarship will benefit your education and/or career?
Part C: Your declaration
Terms and conditions*

I declare that the information provided in this application is true and correctI understand that the information provided in this application will be used for assessment and selection of the scholarship recipient.I understand that the decision (selection of scholarship recipient) made by the Panel is final.I have read and accepted the terms and conditions for the scholarship application, found on the Central Coast NSW Legacy Scholarships webpage.
Visit the Central Coast NSW Legacy website at

www.cclegacy.com.au
Should be Empty:

Central Coast NSW Legacy

Part A: Your details

Part B: About your chosen career or area of study

Part C: Your declaration