Ferry Undergraduate Scholarships Application Form

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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
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