Clone of 2023 - Application form Youth Foundation Grant

Batemans Bay Youth Foundation Application Form
Applicant details
Name

First nameFamily name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Telephone
Format: (00) 0000-0000.
Mobile
Format: 0000-000-000.
Email
example@example.com
Date of birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Do you live with your Parent(s)?
Will you be living with your parents after leaving school?
Family Information:
Mother
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation

Occupation

Street Address Line 2

CityState / Province

Postal / Zip Code
Father
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Occupation

Occupation

Street Address Line 2

CityState / Province

Postal / Zip Code
Name and age of other school aged children at home:
Configurable list
Descendant of ex-service person

If you are a descendant of an ex-serviceman (or woman) and wish to be considered for the RSL Sub-Branch Award, please indicate here the NAME OF THE EX-SERVICEMAN and HIS/HER RELATIONSHIP to you.
Name

Name

Street Address Line 2

CityState / Province

Postal / Zip Code
Relation

Relation

Street Address Line 2

CityState / Province

Postal / Zip Code
School/TAFE Attended
School:
School
Current Year
Year Group
Subjects and results
Previous Year
Year Group
Subjects and results
HSC students - Expected ATAR
Atar
Personal Interests
To support your application, BBYF would like to know about your interests and achievements inside and outside of school.
Interests
Community Involvement - organisations, clubs or initiatives. Sport - participation, awards, coaching, volunteering- how have you contributed? Volunteering in the community - organisations and your role. Casual / Part Time work - list the businesses, your work hours, your role and how long in the position?
Options for Next Year
Plans for Next Year
Why have you chosen this career? Where will you live? What costs will be involved in leaving home and starting in a new location?
Supporting Evidence
Please attach a copy of your school/principal reference. You may need to request this from your school.

Provide documentation of your offer and acceptance to a university or TAFE that you will be pursuing in the next 12 months.
Evidence Checklist
Evidence summary
EVIDENCE
Upload your Supporting Evidence

Cancelof
Your Financial Position

The information you provide here will assist the Selection Committee in considering your application and the possible level and extent of financial support we could provide.

Please indicate your sources of income both current, and anticipated over the next year, including personal earnings, other scholarships, payments from the Commonwealth or State Governments, or from any other sources.
Financial Position
Position
Combined Family Income in the Previous Year
Applicants are requested to indicate the income range which applies to
their parents/guardians combined income for the previous year. All income
and benefits should be included, from whatever source. Applicant income
should NOT be included here.

Income information will be treated in strictest confidence and be available
only to the Selection Committee, which reserves the right to confirm this
information.
Select Option
Referees
Please nominate two persons as referees who can support your application for
a Youth Foundation grant. If possible, include a current or past teacher and
a current or past employer as a referee. Please inform these referees that
they may be contacted by the Selection Committee.
Name
name
Position
Phone
phone
Email
example@example.com
Name
name
Phone
phone
Position
Email
example@example.com
Declaration by Applicant

By lodging this application I confirm that:

(a) I acknowledge that acceptance of this application by the Batemans Bay Youth Foundation does not guarantee the awarding of a grant.

(b) I understand that I am applying for a grant for an activity to be undertaken in the next 12 months and that I will need to provide a brief written report to the Youth Foundation when requested.

(c) To the best of my knowledge and belief, the information provided in this application is accurate and true.

(d) My father/mother/guardian First Name Last Name (name) has stated that to the best of his/her/knowledge and belief the information provided in this application is accurate and true and he/she supports my application.
Name
name
Date
date
Should be Empty:

Mother

Your Financial Position

Declaration by Applicant