The Application Form
You can either print out this page, and fill it in, or click on the MS-Word icon (below) to download a Word (.doc) document or click on the PDF icon to obtain the form in .pdf format for printing. The address to submit your application can be found on the "Addresses & Contacts" page. The application must be completed and returned by 1st March, 2011.
1. Personal Details
1. Name :
2. Address :
3. Telephone Number :
4. Date of Birth :
5. Place of Birth :
6. Australian Citizenship Status :
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.)
1. Name :
2. Relationship :
3. Service Number :
4. Rank :
5. 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.
5. Most Recent Academic Attainments
1. School :
2. Grade/Class :
3. Subjects
6. Educational Referee Report
7. Are You Eligibile for Full Benefits from YOUTH ALLOWANCE, AUSTUDY, ABSTUDY or VETERANS' CHILDREN EDUCATION SCHEME in 2011?
If Yes please supply details. If No you are not eligible to apply for the scholarship.
8. Other Necessitous Circumstances (own and family) Which Could Threaten Tertiary Study Plans in 2011.
9. Please advise the Selection Committee how you learned of the Scholarships.
Click here to download this form in editable MS-Word (.doc) format - 964kb
Click here to download this form in .pdf format - 79kb
Where to Send Your Application
