A residential College affiliated with Macquarie University
Dunmore Lang College Awards – Semester 1 2015
SCHOLARSHIP APPLICATION FORM
General Information

Dunmore Lang College offers scholarships (academic merit) and bursaries (financial need) to
assist new & returning students to successfully complete their university studies. In Semester 1
2015 these include:
o Dunmore Lang College Postgraduate & Honours Scholarships - 2015
o Dunmore Lang College Undergraduate Academic Scholarships - 2015
o Dunmore Lang College Undergraduate Entrance Scholarships - 2015
o Dunmore Lang College - Macquarie University Sport & Recreation Elite Sports
Scholarship - 2015
o Undergraduate Scholarships (half year fees) - 2015 only
o Undergraduate Bursaries (half year fees) – 2015 only
o Undergraduate Scholarships – 2015 only
o Undergraduate Bursaries – 2015 only
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Semester One applications are due no later than 5pm Friday 14 November 2014;
The Scholarships & Academic Committee assess all shortlisted applications and its decisions are
final;
The key criteria for College awards include a balance of academic merit, extra-curricular
activities and achievement, financial need, and your capacity or potential for community service
or leadership;
The Committee may also take account of other awards which you will hold in 2015 or expect to
hold;
Students are also encouraged to check the scholarships page on the university website for other
scholarships and bursaries;
If you have any questions please contact the Registrar, Valerie Bohle – Phone (02) 9856 1016 or
email admissions@dlc.nsw.edu.au.
Dr. Alasdair Murrie-West
PRINCIPAL
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COMPLETING THE APPLICATION FORM
1. Complete this application form and return it in confidence to the College:
Dunmore Lang College – Attn. Scholarship Applications
P O Box 150
North Ryde BC 1670 NSW
Or by email: scholarships@dlc.nsw.edu.au
Please note: CLOSING DATE FOR SEMESTER 1 2015 is Friday 14 November 2014.
2. Please provide all relevant details and evidence to substantiate your application including ATAR/GPA,
service and leadership awards etc.
3. When completing this application form off-line, please write clearly using a black pen.
4. Please do not staple or incorporate your application into a folder as it will be copied and distributed to
members of the Committee.
5. All applicants must complete Sections 1 to 3 and other sections as applicable.
SECTION 1 – GENERAL
Family name: ______________________________________________________________________
Given name (s):
Preferred: ________________________
Email:____________________________________________________________________________
Non-term contact address:
______________________________________________________
______________________________________________________
Non-term contact telephone: ( ) ___________________ Mobile: __________________________
Date of birth:
/
/
(Age at 1 January 2015)
In 2015, I will be a:
Undergraduate student 
Postgraduate student 
I expect to start living in Dunmore Lang College:
Semester 1, 2015 
Semester 2, 2015 
Proposed course of study in 2015: _____________________________________________________
When do you expect to complete this course of study? (month & year) _______________________
Current GPA/ATAR or other ranking: ___________________________________________________
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SECTION 2 – ACADEMIC, PERSONAL AND COLLEGIATE
Please describe your academic strengths and achievements to date.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please outline why you have chosen your course and where you hope to be in five years time.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please provide details of your volunteer community service and leadership roles and how you
intend to contribute to the College community in 2015.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please outline your achievements or particular successes in cultural, sporting or other activities.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please attach evidence of ATAR, GPA or equivalent plus evidence of other academic achievements.
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SECTION 3 – FINANCIAL
All applicants are required to complete this section. If you wish to be considered for an Entrance
Scholarship your application will be assessed on the information provided in this section. Please
also provide a copy of your Centrelink statement. All information is treated in the strictest of
confidence.
Will you receive financial assistance from your parents?
Yes 
No 
$
per fortnight
Are you eligible to receive youth allowance?
Yes 
No 
$
per fortnight
Are you eligible to receive rent assistance?
Yes 
No 
$
per fortnight
Are you eligible to receive AbStudy?
Yes 
No 
$
per fortnight
Are you eligible to receive any other government assistance?
Yes
No 
$
per fortnight
Have you applied for or been awarded any scholarships or bursaries for 2015?
Yes 
No 
$
. If yes, please provide details
_________________________________________________________________________________
_________________________________________________________________________________
Are you currently employed in paid work?
Yes 
No 
If yes, please provide details
_________________________________________________________________________________
_________________________________________________________________________________
Do you intend to work (including internships) in 2015?
Yes 
No 
If yes, please provide details
_________________________________________________________________________________
_________________________________________________________________________________
Please provide details of any other financial support you will receive in 2015
_________________________________________________________________________________
_________________________________________________________________________________
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Please provide details of any other financial support you expect to receive in 2015
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
How many other siblings are dependent on your parents in 2015?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
How will a Dunmore Lang College scholarship or bursary assist your academic and personal
progress?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Are there any other financial circumstances you wish the Committee to know about?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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SECTION 4 – ELITE SPORTS
(Complete this section, only if you wish to be considered for a Dunmore Land College –
Macquarie University Sport & Recreation) Elite Sports Scholarship. Attach further relevant
documents if necessary.)
Please outline your sporting achievements to-date, e.g. highest level attained, awards gained.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please tell us about your sporting goals and your potential, as you see it.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please tell us how an Elite Sports Scholarship will help you achieve your academic and sporting
goals.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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SECTION 5 – DISADVANTAGE, DISABILITY OR HARDSHIP
(Complete this section if you feel you qualify for support based on disadvantage, disability or
hardship. Please provide additional relevant information if you wish)
Please tell us about your situation.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
How does this disadvantage affect your life, giving particular attention to educational and career
opportunities?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Can you provide a professional or other independent report?
A College award may be considered based on documentation from a suitable professional or other
person that your situation is one of disadvantage, disability or hardship. Please attach this to your
application if relevant.
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