YEAR 9 AND 10 EXPERIENCE and BOARDING SCHOLARSHIP

YEAR 9 AND 10 EXPERIENCE and BOARDING SCHOLARSHIP

Application
Before beginning this application, please ensure you have digital copies of your child’s ID photo/recent school photo, two most recent school reports and their latest NAPLAN results ready to upload.

Your child will also be required to complete part of this application.

You may save the document at any stage and return to it before submitting.

Please note that applications are only complete once the form has been submitted and the required school reports and NAPLAN results have been provided.

College Registrar, Susie Holcombe, will be in contact following the close of applications.

STUDENT INFORMATION
Name of student

First NameMiddle NameLast Name
PLEASE ATTACH CURRENT PASSPORT STYLE PHOTO

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Date of Birth

MonthDayYear
Date
Current School
Current Year Level

PARENT / GUARDIAN INFORMATION
Name and Initial of Parent/Guardian 1:

PrefixFirst NameLast Name
Is Parent / Guardian 1 an Old Collegian

Yes, Class of Year
Email
example@example.com
Name and Initial of Parent/GUardian 2:

PrefixFirst NameLast Name
Is Parent / Guardian 2 an Old Collegian

Yes, Class of Year
Email
example@example.com

CONTACT DETAILS
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Mobile

Area CodePhone Number
Signature
Date

MonthDayYear
Date
Signature
Date

MonthDayYear
Date

PERSONAL INFORMATION

IS TO BE COMPLETED BY THE STUDENT
ACADEMIC
Do you often get high grades in your school work?
If so, which subjects
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 and explain why:

LEADERSHIP
Have you held a leadership position?
(a) At school, eg. - Prefect, House Captain, Team Captain?
b Outside school eg Sports Club Scouts Church Groups

SPORT
Which sports do you play?
Have you been in any teams at school?
Have you been in any Club (community) teams?
Have you gained any certificates, individual trophies or awards in sport?
List your most significant sporting achievements.

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
Are you looking to board at College

BOARDING
What attributes could you offer to our Boarding environment?
What do you see as the benefits of Boarding at College?

ADDITIONAL INFORMATION
Please write 200 words on why you like helping other people and why you would like to be involved in he service learning opportunities at College.
Outline any other considerations which you feel to be of importance in supporting your application.

TWO PERSONAL REFEREE CONTACTS
Referee 1: Name

First NameLast Name
Referee 1: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Referee 1: Relationship to applicant
Referee 1: Phone

Area CodePhone Number
Referee 2: Name

First NameLast Name
Referee 2: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Referee 2: Relationship to applicant
Referee 2: Phone

Area CodePhone Number

FILE UPLOAD
Most recent school report

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Second most recent school report

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Most recent NAPLAN results

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Should be Empty: