Application form - Year 7 2015

advertisement
Application Form
for
Aboriginal Scholarship
Year 7 2015
Sponsored by
Rio Tinto
Page 1 of 4
ST LUKE'S COLLEGE KARRATHA
Rio Tinto Sponsored Scholarship
For Aboriginal students entering St Luke’s College in Year 7 2015
1. WHAT DOES THE SCHOLARSHIP PROVIDE
The Scholarship will provide the successful applicant with financial assistance for the undertaking of
studies at St Luke’s College.
The financial assistance takes the form of subsidised tuition, books and uniforms.
2. WHAT ARE THE CRITERIA FOR THE SCHOLARSHIP
The Scholarship will be offered on the basis of the following criteria:
1.
2.
3.
4.
5.
6.
7.
8.
Aboriginality
Desire for a St Luke’s education
Sympathy with the College’s values
Demonstrates a sound foundation for learning
Attends school regularly
Aspires to complete Year 12
Has the capacity to lead in the community
Financial need
Hence, the Scholarship is awarded on a basis of equity as well as performance.
The Scholarship is not an academic scholarship, although academic performance is part of individual
candidature. The College reserves the right to withhold the Scholarship should, in its view, there be no
applicant that suits the criteria.
3. APPLICATION AND SELECTION
Applicants must complete the Application Form and provide any documentation requested on the
form.
Applications must be received by the closing date August 10th 2014.
Scholarship Applications must be sent with the College Application Form.
ALL APPLICATIONS WILL BE MARKED AND TREATED AS CONFIDENTIAL.
Applicants will be requested to attend an interview, together with their parents/guardians, at
the College at a suitable time.
Successful applicants will be notified by phone or mail.
Page 2 of 4
ST LUKE'S COLLEGE KARRATHA
APPLICATION FOR RIO TINTO SCHOLARSHIP
As parent/Guardian, I hereby apply for the Rio Tinto Scholarship for my son/daughter at St Luke’s
College and submit the following information:
1. STUDENT
Name:
__________
Name of Present School:
__________
Year of Schooling:
__________
Date of Birth:
__________
Residential Address:
__________
Phone:
________(H) _________
__________(M)
2. SCHOOL REPORT / ACADEMIC ACHIEVEMENTS
Please attach copies of the student's most recent school report, NAPLAN report, certificates, etc.
3. SCHOOL AND COMMUNITY
Please attach details of the student's commitment to and achievement in non- academic school
and community activities.
4. RELIGION (Please tick as appropriate)
[ ] Catholic
[ ] Christian
[ ] Other
Sacraments Received:
[ ] Baptism
[ ] Reconciliation
[ ] Communion
[ ] Confirmation
Attach copies of certificates as appropriate.
Page 3 of 4
5. FAMILY
Father / Guardian
Name:
__________
Residential Address:
__________
Phone:
____(H)
______(W)
__________(M)
Occupation: ____________________________ Employer:
Religion:
[ ] Catholic
[ ] Christian
__________
[ ] Other
Mother / Guardian
Name:
__________
Residential Address:
__________
Phone:
____(H)
______(W)
__________(M)
Occupation: ____________________________ Employer:
Religion:
[ ] Catholic
[ ] Christian
__________
[ ] Other
6. REFEREES
Please provide the name, address and contact number of two character referees for the applicant:
Name:
__________
Address:
__________
Phone: _________________________________
Name:
__________
Address:
__________
Phone: _________________________________
Signature of Parent / Guardian: _______________________________Date:_____________
Signature of Parent / Guardian: ________________________________Date:_____________
Please complete and return by 10th August 2014 to:
The Principal
St Luke's College
PO Box 971
KARRATHA WA 6714
THIS DOCUMENT WILL BE TREATED AS CONFIDENTIAL.
Page 4 of 4
Download