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