Northcote Trust Scholarship

NORTHCOTE TRUST ACADEMIC SCHOLARSHIP APPLICATION FORM

The annual Northcote Trust Academic scholarship is open to Aboriginal and Torres Strait Islander students who have achieved outstanding results in the Victorian Certificate of Education (VCE) and who are enrolled to commence a suitable degree course of study at a Victorian tertiary institution. The scholarship will be in the form of a $4,000 grant, payable in each year of satisfactory progress in the selected course, for a maximum of four years. Only one scholarship is to be offered each year. Applicants must undertake an approved tertiary course of study. Students will be required to provide half yearly evidence of their academic progress. Continuation of the Scholarship will be subject to satisfactory progress in the course, however the Northcote Trust/VAEAI will confer with an appropriate representative of the institution before a decision to discontinue a Scholarship is made. The decision of the Northcote Trust/VAEAI is final. Scholarship holders must notify the Northcote Trust/VAEAI if they experience any difficulties in their studies. The Northcote Trust/VAEAI may be able to assist students experiencing difficulties. The student will be expected to participate in various community activities. The application form is designed to obtain information about:  Academic background  Involvement in the Aboriginal community  Interest and/or experience in the chosen field of study Two Referee Reports will be required to give further details on academic and personal background. Application forms should be addressed to: Lowana Moore Programs Manager Victorian Aboriginal Education Association Inc. P.O. Box 113 Northcote 3071

Or alternatively email: [email protected] Fax: 03 9481 4072

For further information contact: 03 9481 0800

And should include a photocopy of VCE results signed by the students Secondary College Principal or a Justice of the Peace. Applications close at Monday 1st May 2017 NORTHCOTE TRUST ACADEMIC SCHOLARSHIP APPLICATION FORM

(Please Print)

Contact Details Surname______First Name ______Contact Address______Phone (day) ______(evening) ______Date of Birth ______

Gender  M  F Education Name and Address of Secondary College ______

VCE Results (include units 1, 2, 3 & 4) Year Subject Unit Result

ATAR: ______NORTHCOTE TRUST ACADEMIC SCHOLARSHIP APPLICATION FORM

Significant Achievements Please list here any particular achievements you want to mention or awards you may have received. These can be in your schooling, sport, or any area of personal interest to you.

Community Interests and Involvement Have you been involved in any Koorie community activities? (this could include youth leadership, sports, If yes, please detail.

Proposed use of scholarship Please provide an overview of how you intend to use this scholarship if it is awarded to you. (include your course details, the institution where you will be studying, starting date, length of program, whether full-time or part-time, internal or external. Also include details on how the funds will be used: for example, course fees, books and other educational material, living expenses.

______NORTHCOTE TRUST ACADEMIC SCHOLARSHIP APPLICATION FORM

Current academic interests & career plans My long term personal and career goals are:

______

Other financial support Please specify what other sources of financial support you will have, for example, Abstudy benefits, supported by family, partner, part time work, other.

______

Referees 1. Name: ______Address: ______Home phone: ______Work phone: ______

2. Name: ______Address: ______Home phone: ______Work phone: ______

Please attach a photocopy of your VCE Results signed by your Principal or a Justice of the Peace.

Applications close at Monday 1st May 2017.