FACULTY OF ARTS
WOMEN LEADERS’ SCHOLARSHIP
APPLICATION FORM 2015/6
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
This application form should be completed in black pen or typed.
This scholarship is offered by the Faculty of Arts to eligible female international students
from Malaysia or Singapore with Offers of Enrolment in Semester 2/2015 or in 2016 for
first year entry into any of the Faculty’s undergraduate programs (not including combined
degrees or Faculty of Arts programs as pathways into non-Faculty degrees).
SECTION 1: PERSONAL DETAILS
Title: Ms
Mrs
 Miss 

Family Name (as on your passport)
Given Names
Home Address
Town /City/
Date of Birth
I am a citizen of:  Malaysia
 Singapore
Phone:
Mobile phone:
Email:
I read email regularly: Yes

No 
I have not studied overseas before. 
I understand that if I receive the Women Leaders’ Scholarship I will be expected to undertake promotional and
ambassadorial activities for the Faculty of Arts/University of Tasmania 
How did you hear about this scholarship?  Education Agent
 UTAS Website
 Teacher/Friend/Family
 Email notification
 Other ____________ (please specify)
SECTION 2: COURSE DETAILS (Check courses at www.international.utas.edu.au)
The Faculty of Arts Course I intend to enrol in is called:
Campus:
HOBART 
LAUNCESTON 
I wish to commence this course in  July 2015
 February 2016  July 2016
I have applied for the above course Yes  No 
UTAS Student No if known:
SECTION 3: SCHOOL REFERENCE (MAX 300 WORDS)
Provide on a separate sheet a reference about you from the Principal of the school you last attended, attesting to
your academic achievements, leadership qualities and contribution to school life.
SECTION 4: APPLICATION STATEMENT (MAX 600 WORDS)
Tell us on a separate sheet (1) why you have selected your Faculty of Arts course; (2) how your chosen course
fits with your future career aspirations; (3) in what ways you hope to be a woman leader at UTAS; (4) your past
successes and failures in leadership roles and what your experience has taught you about being a female leader
in your school and community.
SECTION 5: EXTRA-CURRICULAR ACTIVITIES (MAX 300 WORDS)
Tell us on a separate sheet what extra-curricular activities you have been involved in during your school life, and
briefly explain how they have shaped your personality, informed your beliefs and developed your leadership
qualities.
SECTION 6: DECLARATION
I declare that the information supplied by me in this application is accurate.
Signature
______________________________________________
Date ________________________
Your Application should be emailed to the University of Tasmania International Scholarships Office:
Email: International.Scholarships@utas.edu.au
Subject Box on email must say: Women Leaders’ Scholarship Application
Please convert your application into a pdf format and attach to it scanned copies of any attachments to this
application form; and email to the address above.
For enquiries please contact: International.Scholarships@utas.edu.au