THE FERRY SCHOLARSHIP 2016 Applications now open! The Ferry Scholarship is funded by a bequest from the late Cedric Arnold Seth Ferry, for the purpose of promoting study and research in the scientific fields of Physics and or Chemistry. Public Trustee, as trustee of the Cedric Arnold Seth Ferry Trust intends to offer The Ferry Scholarship for students undertaking Honours study in 2016. Eligibility: The Ferry Scholarship is available to students undertaking an Honours degree at Flinders University, University of South Australia or the University of Adelaide in 2016. Applicants must be able to demonstrate financial need, be under the age of 25 years at 1 January 2016 and be an Australian citizen. Applicants must be eligible for enrolment in an Honours degree in 2016. Qualifications: Applicants must have obtained, or expect to obtain in 2015, an undergraduate degree majoring in Physics and or Chemistry. Stipend: The allowance for the scholarship(s) will be determined by the Ferry Scholarship Board, and could be up to $7,500 per year. Up to 6 scholarships will be available, again at the discretion of the Board. Selection: Scholarship recipients will be selected from those applying from any of the three major South Australian universities. Selection will be undertaken by the Ferry Scholarship Board in early 2016, and is primarily based on the qualifying criteria, including academic merit and financial need. Application Form: Application forms are also available from the Public Trustee website under the News and Trust tabs www.publictrustee.sa.gov.au/ferry-scholarship Further information: Contact Neil Brett on 8226 0454 or e-mail Neil.Brett@sa.gov.au Closing Date Applications by Friday, 29th January 2016 T H E FERRY TRUST AP P L I C AT I ON F O RM F OR THE FERRY SCHOLARSHIP The Ferry Scholarship is available to support academically gifted Australian citizens continuing with studies at Honours level in the fields of Physics and/or Chemisty. The Scholarship is open to students studying at the Honours level who would otherwise find it financially difficult to continue with studies. The successful applicant(s) must enrol in an Honours course with Physics and/or Chemistry as the major discipline. (To ascertain whether a specified Honours course is eliglible under the terms of The Ferry Scholarship, please check with the relevant university scholarships office.) CONFIDENTIAL Title: ____ Family Name: _______________ Given Names: ________________________ Address: __________________________________________________________________ Town: ___________________________________ State: ______ Postcode: __ __ __ __ Expected contact details for 2016 academic year (where different from above): Postal address: _____________________________________________________________ Town/Suburb: ____________________________ State: ______ Postcode: __ __ __ __ Telephone: ____________________ Are you an Australian citizen? E-mail: __________________________________ Yes No Date of birth: ____ / ____ / ____ * Please attach a copy of your birth certificate or (if born overseas) your Australian passport or Australian Citizenship certificate. Details of Tertiary Studies: ____________________________________________________ (If you completed tertiary studies earlier than 2015, please attach a brief explanation for your deferral.) __________________________________________________________________________________ __________________________________________________________________________________ Please attach a copy of your most recent acedemic transcript. Undergraduate major(s): _____________________________________________________ Please list any awards, prizes or other achievements in the fields of Physics and/or Chemistry: __________________________________________________________________________________ __________________________________________________________________________________ Proposed course of study in 2016: __________________________________________________ University: ____________________________ Campus: ____________________________ Will this be the first time you have enrolled in an Honours course? Yes No If no, what course did you previously undertake? ____________________ What year? _______ Institution? ______________________________________________ Other scholarships &/or financial assistance available Are you eligible for a different Honours scholarship, or some other financial assistance intended to assist with studies at the Honours level? Yes No Details: ___________________________________________________________________ If yes, why are you applying for The Ferry Scholarship? _____________________________ __________________________________________________________________________________ __________________________________________________________________________________ FINANCIAL CIRCUMSTANCES Do you or your family have a Health Care Card or similar Social Security concession card? Yes No Do you receive, or are you a dependent of someone who receives, income support from Centrelink, ie, Disability Support Pension, Carer Pension, Newstart or Pensioner Education Supplement? Yes No Do you receive rental assistance from Centrelink? Yes No Do you receive other assistance from the Commonwealth Government, e.g. Youth Allowance, Austudy, Abstudy? Yes No Please attach supporting evidence for each of the “Yes” boxes ticked above, e.g. Youth Allowance, Austudy or Abstudy payment slip, group certificate etc. If you are not eligible for any of the above, you are requested to supply any other relevant supporting evidence to demonstrate financial need. IN SUPPORT OF APPLICATION (1) Briefly explain how the award of The Ferry Scholarship will assist you with continuing your studies at the Honours level: (2) Briefly state your interests in the scientific fields of Physics and/or Chemistry, and your future career intentions: You must attach at least two current written references in support of your application, including one which must be from an academic mentor. Each reference must include contact details for the referee. Please sign and date the declaration below, and return the completed application to the address below. Completed applications are to be received before the close of business on Friday, 29 January 2016. On completion of the studies at Honours level you will be required to provide a written report on the outcome of your studies. DECLARATION I declare that the information I have supplied above is to the best of my knowledge correct. I authorise the Ferry Scholarships Board to obtain relevant information about me to support this application from educational and other sources as required. Signature: ___________________________ ADDRESS for APPLICATIONS: Date: ____ / ____ / ____ Public Trustee Trustee for The Ferry Trust Attention: Neil Brett GPO Box 1338 ADELAIDE SA 5001 www.publictrustee.sa.gov.au/ferry-scholarship