Indigenous Student Scholarship Application Form - 2012 The Faculty of Education at Monash University is committed to providing Scholarships to support greater participation of Australian Indigenous people in the education sector. Successful recipients will have their fees paid each year for a maximum period of 5 years, or until their course of study is complete, whichever is earliest. You may apply for the Faculty of Education Indigenous Student Scholarship if: You are of Aboriginal and/or Torres Strait Islander descent You wish to enrol to become an Early Childhood, Primary or Secondary teacher in one of the undergraduate courses in the Faculty of Education You wish to enrol in one of the Sport and Outdoor Recreation courses in the Faculty of Education You are prepared to undertake full-time study. OR Enquiries: Professor Henry Atkinson and Dr Zane Ma Rhea 9905 2823 APPLICANTS MUST ALSO COMPLETE A FACULTY OF EDUCATION UNDERGRADUATE DIRECT APPLICATION FORM (There are a limited number of Scholarships available so students should also apply through VTAC for a Commonwealth Supported Place) COURSES AVAILABLE IN 2012 Name of Course Campus Course Code Peninsula 1515 Bachelor of Arts/Bachelor of Education (Primary) Peninsula/Clayton 1541 Bachelor of Arts and Social Sciences/Bachelor of Education (Primary) Gippsland 4208 Bachelor of Music/Bachelor of Education (Primary) Peninsula/Clayton 3717 Bachelor of Primary Education Gippsland or Peninsula 1514 Bachelor of Science/Bachelor of Education (Primary) Peninsula/Clayton 3711 Bachelor of Sport & Recreation/Bachelor of Education (Primary) Peninsula 2070 Bachelor of Visual Arts/Bachelor of Education (Primary) Peninsula/Caulfield 3712 Bachelor of Arts/Bachelor of Education (Secondary) Clayton 1641 Bachelor of Commerce/Bachelor of Education (Secondary) Clayton 1633 Bachelor of Music/Bachelor of Education (Secondary) Clayton 2025 Bachelor of Science/Bachelor of Education (Secondary) Clayton 2026 Bachelor of Sport & Recreation/Bachelor of Education (Secondary) Peninsula/Clayton 3718 Bachelor of Visual Arts/Bachelor of Education (Secondary) Clayton/Caulfield 3712 Berwick/Clayton 3750 Bachelor of Sport and Outdoor Recreation Peninsula 2069 Bachelor of Business/Bachelor of Sport & Outdoor Education Peninsula 3749 Early Childhood Bachelor of Early Childhood Education Primary Teaching Secondary Teaching P – 10 Teaching Bachelor of Education (P - 10) Sport & Outdoor Recreation Section 1: Personal Details Family Name: Given Names: Telephone (H) (W/Mobile) Date of Birth: Sex: / / Male Female VTAC Number (if you are a Year 12 student): Home Address: Postcode: Email Address: Section 2: Course Details Please list (in order of preference) the course/s you have applied for at Monash University. Full Course Name Campus Course Code 1. 2. 3. 4. Section 3: Supporting Statement In order to learn more about you, the Selection Committee requests that you explain in the space provided why you wish to be considered for the Scholarship. You may discuss one or more of the following: Your reasons for wanting to teach or work in sport and outdoor recreation; Any relevant work, school or life experience you may have; Your involvement with indigenous community events or programs or in the wider community, i.e homework centres, sporting, youth or other clubs; Any other information you think is relevant to consideration of your application. ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… Section 4: Supporting Documentation To support your application and to help the selection committee decide upon your suitability for the Scholarship, you should attach: Copies of written verification of past studies by way of relevant secondary school reports; Copies of any other certificates, awards or documents regarding activities, accomplishments or work experience you think may be relevant; Letters of reference from your Indigenous community representatives and/or school/family members. Section 5: Declaration I declare that all the information I have provided for this application is true and correct; I also declare that I: Am of Australian Aboriginal or Torres Strait Islander descent; and Identify as an Aboriginal or Torres Strait Islander; and Am accepted as such by the community in which I live or have lived. Applicant’s Signature: ……………………………………. Date: ………………... Check list: Please check that you have completed all sections: Section 1 Completed personal details Section 2 Course details Section 3 Completed supporting statement Section 4 Attached other supportive documentation Section 5 Signed the declaration Remember you must also complete the Direct Application Form th Applications close 10 February, 2012 Please mail your application to: Manager, Admissions & Student Services Faculty of Education Indigenous Student Scholarship Building 6, Monash University, Clayton Vic 3800 Privacy Statement The information on this form is collected for the primary purpose of assessing your application for the Faculty of Education Australian Indigenous Student Scholarship. Other purposes of collection include dealing with administrative matters relating to your application, corresponding with you and the compilation of statistics. If you choose not to complete all the compulsory questions on this form, it may not be possible for the Selection Committee to assess your application. Personal information may also be disclosed to the Selection Committee of the Faculty of Education Australian Indigenous Student Scholarship or relevant bodies for the verification of previous studies or qualifications. You have a right to access personal information that Monash University holds about you, subject to any exceptions in relevant legislation. If you wish to seek access to your personal information or inquire about the handling of your personal information, please contact the University Privacy Officer on 9905 6011.