---The Gallipoli Scholarship---

GALLIPOLISCHOLARSHIP.ORG - Application Form 2011
You are invited to apply for a Gallipoli Scholarship which could help you finance the first year only of a degree course in a New South Wales or ACT University in 2012. Up to a total of seven scholarships will be available in 2012 - four for descendants of WWI veterans, and three for descendants of WWII veterans.

1. Personal Details

(Please attach a recent, passport size photo to your application.)

Name *

First

Last

Address *

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Email *

Phone (Home) *

Phone (Mobile) *

Date of Birth *

Place of Birth *

2. Personal Documentary Details

Your scholarship application should include an authenticated copy of your own Birth Certificate and ancestral Birth Certificate.

3. Australian Serviceman or Woman of Whom You Are a Lineal Descendant

(Provide as much information as possible. Verification will be undertaken at the final selection stage.)

Name *

Relationship *

Service Number *

Rank *

Service *

4. THE IMPORTANCE OF GALLIPOLI TO AUSTRALIA AND AUSTRALIANS (or for those applying for the Bill Hall Memorial Scholarship THE IMPORTANCE OF THE BATTLE OF MILNE BAY)

Provide up to a maximum of 250 words.

Your Response *

5. Most Recent Academic Attainments

School *

Grade *

Class *

Subjects *

6. Educational Referee Report

7. Are You Eligibile for Full Benefits from YOUTH ALLOWANCE, AUSTUDY, ABSTUDY or VETERANS' CHILDREN EDUCATION SCHEME in 2012?

If Yes please supply details. If No, you are not eligible to apply for the scholarship.

Details *

8. Other Necessitous Circumstances (own and family) Which Could Threaten Tertiary Study Plans in 2012.

Details *

9. Please advise the Selection Committee how you learned of the Scholarships.

Details *

10. Did you have a Gap Year? What did you do? How do you think your Gap Year benefited you?

Details *

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Where to Send Your Application

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