Sir Charles Bright Scholarship Application 2023-24

Sir Charles Bright Scholarship Application

2023/24
Applications for scholarships are open to students with disabilities undertaking post-
secondary education and residing in South Australia in 2024.

A limited number of scholarships are awarded each year through a competitive application process.

Applications close 5.00pm on Friday 29th December 2023 and must be submitted in this application form. (No other formats or hand written applications will be accepted).

Preference will be given to students undertaking their first post-secondary course or
undergraduate study, or students who are re-training.

Preference will be given to applicants who have not previously received a Sir Charles Bright Scholarship.

All information provided in your application will be treated confidentially.
1. Your name

First (Preferred) NameLast Name
2. Title
Mr/Ms/Dr/etc
3. Date of Birth

MonthDayYear
Date
4. Address

Street Address

Street Address Line 2

SuburbState (Applicant must be studying and resident in SA)

Post Code
5. Phone Number
Best phone number to talk to you about your application.
6. Gender
Male/Female/Prefer not to say
7. Where are (or will) you be studying? (Applicants must be studying and residing in South Australia).

University of AdelaideUniversity of South AustraliaFlinders UniversityTAFEOther
8. When will (or did) you start your study?
Date of Commencement e.g. Semester/Year
9. What are (or will) you be studying?
E.g. Bachelor or Economics, Cert IV in Disability etc.
10. How long is the course? When will/did you start? And when do you plan to finish?
e.g. 3 years, started 2023
PLEASE NOTE: Do not attach any appendices or copies of private information related to your personal circumstances (such as verification of your disability, or financial status, or your year 12 results etc).

If the trustees would like further information about any aspect of your application then we will contact you.
11. General category of your disability, mental health or medical condition:

hearing impairmentlearning disabilitymobility impairmentvision impairmentmedical conditionmental health conditionOther
12. Please tell us about the nature and degree of your disability, mental health or medical condition.
13. Please provide brief details of your relevant academic achievements.
e.g. summary of high school results, results of your course to date, other courses
14. Have you received any scholarships previously? If so, what was the scholarship and when did you receive it?
15. Please explain how receiving a Sir Charles Bright Scholarship will support you to study.
16. Please provide details of your most recent employment (paid or volunteer).
17. Please provide brief details of any income in the last twelve months.
18. Details of any hobbies, interests or community work.
19. Briefly describe what you see yourself doing in five to ten years and how your studies have enabled you to reach this goal.
20. In the event that your application is successful, do you give permission for relevant details of your disability to be disclosed at the public presentation of your scholarship? And to be available to participate in publicity for the scholarship?

YesNo
21. How did you hear about the Scholarship?

University/TAFERadioWord of MouthOther
Applications for 2023 close at 5.00pm on Friday 29th December 2023.

It is anticipated that applicants will be contacted by early February 2024.

Email enquiries can be sent to the Administrator at:

scbscholarship@gmail.com

Thank you for your interest in the Sir Charles Bright Scholarship.
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