BOARDING BURSARY APPLICATION
Year 7 and 8
Student Information
Please attach Current Passport Style Photo
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Name of Student
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First Name
Middle Name
Last Name
Date of Birth
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/
Day
/
Month
Year
Day / Month / Year
Current School
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Current Year Level
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Parent Information
Full Name of Parents / Guardian 1
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Prefix
First Name
Middle Name
Last Name
Full Name of Parents / Guardian 2
Prefix
First Name
Middle Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
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Country Code
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Area Code
Phone Number
Mobile Phone Number
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-
Country Code
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Area Code
Phone Number
Email
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example@example.com
Is either parent an Old Collegian?
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Yes
No
Class of ...
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Class of ...
House Name / Colour
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House Name / Colour
Signature Parents / Guardian 1
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Signature Parents / Guardian 2
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PERSONAL INFORMATION
This section of the application form IS TO BE COMPLETED BY THE STUDENT
ACADEMIC
Do you often get high grades in your school work?
Yes
No
Which subjects?
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What was your place in your class last year? If you don’t know exactly, say “about ..."
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List your subjects and marks/ grades from your most recent school report:
Do you have an idea of a career pathway you would like to follow Is so please include
LEADERSHIP
Have you held a leadership position
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Yes
No
a) At school e.g. Prefect House Captain Team Captain If so please specify
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(b) Outside school, eg. - Sports Club, Scouts, Church Groups? If so, please specify:
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SPORT
Which sports do you play?
Have you been in any teams at school? If so, please list:
Have you been in any Club Community teams? If so, please list:
Have you gained any certificates individual trophies or awards in sport? If so, please list:
List your most significant sporting achievements:
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CITIZENSHIP / INTERESTS
How have you helped your local community?
Discuss the importance of family
Do you learn an instrument, play in an orchestra or band, or sing in a choir? Provide details:
Do you have any hobbies or interests that you would like to mention
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BOARDING
What attributes could you offer to our Boarding environment
What do you see as the benefits of Boarding at College
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OTHER
Outline any other considerations which you feel to be of importance in supporting your application
Most recent NAPLAN
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Two most recent school reports
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PERSONAL REFEREE CONTACTS
(Not family members)
Contact 1:
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Daytime contact number:
Please enter a valid phone number.
Relationship to applicant:
Contact 2:
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Daytime contact number:
Please enter a valid phone number.
Relationship to applicant:
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