IVY SCHOLARSHIP
APPLICATION FORM
ABOUT YOUR APPLICATION
Applying for a
*
Please Select
Junior Ivy - Years 4, 5 and 6
Senior Ivy - Years 7 to 12
Are you considering Boarding?
*
Please Select
Yes
Maybe
No
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STUDENT DETAILS
Students Full Name
*
First Name
Middle Name/s
Last Name
ID Photo
*
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Date of birth
*
.
Day
.
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Current School
*
Current Year Level
*
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PARENT DETAILS
Parent Name 1
*
Prefix
First Name
Middle Name
Last Name
Parent Name 2
*
Prefix
First Name
Middle Name
Last Name
Is either parent an Old Collegians
*
Please Select
No
Yes, Parent 1
Yes, Parent 2
Yes, both parents
House Colour
Please Select
Berry House: Red
Laidlaw House: Blue
Learmonth House: Yellow
Young House: Green
House Colour
Please Select
Berry House: Red
Laidlaw House: Blue
Learmonth House: Yellow
Young House: Green
Parent 1 Signature
*
Parent 2 Signature
*
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CONTACT DETAILS
If the address differs, please include both.
Parent 1 Email
*
example@example.com
Parent 2 Email
example@example.com
Parent 1 Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent 1 Contact Phone Number
*
Parent 2 Contact Phone Number
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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? If so, in which subjects?
*
What was your place in your class last year? If you don’t know exactly, say “about……”
*
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?
At school,
eg. – Prefect, House Captain, Team Captain?
Outside school
, eg. – Sports Club, Scouts, Church Groups?
If so, please specify:
*
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:
*
Citizenship and 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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PERSONAL INFORMATION
THIS SECTION OF THE APPLICATION FORM IS TO BE COMPLETED BY THE STUDENT
Academic
Do you often get high grades in certain subjects at school? If so, in which subjects?
*
What are your two favourite subjects and why?
*
What do you think you would like to be when you leave school?
*
Leadership
Have you held a leadership position?
At school,
eg. – Prefect, House Captain, Team Captain?
Outside school
, eg. – Sports Club, Scouts, Church Groups?
If so, please specify:
*
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:
*
INTERESTS
Do you learn an instrument, play in an orchestra or band, or sing in a choir? If yes, please provide details:
*
Are you part of any groups outside of school? E.g. Art, Minecraft, Lego, Scouts etc.
*
Do you have any hobbies or interests? Please list and explain what level you are at or what you enjoy about the activity.
*
CITIZENSHIP
How have you helped your local community?
*
Discuss the importance of family?
*
What do you think are three great things about your local community?
*
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Other
Outline any other considerations which you feel to be of importance in supporting your application.
*
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Submission of additional documents
Applicants for Ivy Scholarships should arrange for the following to be submitted via upload below:
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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PERSONAL REFERENCES
Referee No 1.
Name
*
First Name
Last Name
Email
*
example@example.com
Daytime Contact Phone No.
*
0000 000 000
Referee No 2.
Name
*
First Name
Last Name
Email
*
example@example.com
Daytime Contact Phone No.
*
0000 000 000
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