Postgraduate Study Financial Assistance Application Form

Postgraduate Study Financial Assistance Application Form
To apply for postgraduate study financial assistance and study leave, please submit this form PRIOR to commencing your program of study.

Catholic Schools Maitland-Newcastle will contact you to discuss your:
- postgraduate study options,
- application outcome, and
- how to claim reimbursement and take study leave if you are eligible.
PLEASE NOTE:
1. This form is intended for the use of Catholic Schools Maitland-Newcastle only. It is not an enrolment or course/unit registration form. Enrolment in a unit or course must be completed directly with the relevant institution of study.
2. Please refer to the Terms and Conditions noted at the end of this Application form.
3. For assistance in completing this Application form, please email postgradstudy@mn.catholic.edu.au

SECTION 1: PERSONAL INFORMATION
Name*

First NameMiddle NameLast Name
School and/or Catholic School Department *
Work Number*

Area CodePhone Number
Mobile Number*
Email*
example@example.com
Employment Status*

Full-TimePart-TimePermanentTemporary
Years of teaching experience*

SECTION 2: PREVIOUS ASSISTANCE
Have you recieved postgraduate study financial assistance from CSMN before?*

YesNo
If yes, specify the number of units

SECTION 3: PROPOSED STUDY DETAILS
Postgraduate course name*
Institution *
Year of commencement *
Anticipated date of completion *

DayMonthYear
Date
Intended study pattern (i.e., two units per year)*
Are you seeking Accreditation to Work, Teach and Lead (AWTL)?*

YesNo
If yes, specify AWTL category*

SECTION 4: PROFESSIONAL CONTEXT
Current role*
How will this study support your professional development and enhance your work?*

SECTION 5: TERMS AND CONDITIONS - POSTGRADUATE STUDY FINANCIAL ASSISTANCE APPROVED BY THE CATHOLIC SCHOOLS OF MAITLAND-NEWCASTLE (CSMN)
By submitting this application, I confirm the following:*

The information I have provided is complete and accurate to the best of my knowledge and belief.I have discussed this application with my Principal / Line Manager.
Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty: