Scholarship application form - Loreto College

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No plastic sleeves or folders please. My reasons for applying (attach 100-200 words).  How will this Scholarship be of benefit to you the student and what will  ...
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STUDENT DETAILS:

Year Level: __________ 2015

Surname:

_____________________________________________________________

Given Names:

_____________________________________

Date of Birth:

_______

I wish to apply for:

2.

3.



Loreto College Music Scholarships (Year 6 to Year 11)



Loreto College Mathematics and Science Scholarships (Senior Years, Year 10 to Year 12)



All-rounder Scholarship Middle Years (Years 6-9) – new enrolments only



All-rounder Scholarship Senior Years (Years 10-12) – new enrolments only

HOME ADDRESS:

___________________________________________________________________

POSTAL ADDRESS:

___________________________________________________________________

SCHOOL DETAILS: Present School:

4.

___________________________________________

Current Year Level:

FAMILY INFORMATION: Father Dr/Mr:

___________________________

Mother Dr/Mrs/Ms/Miss:

____________________________

Given Names:

___________________________

Given Names:

____________________________

Surname:

___________________________

Surname:

____________________________

Home Address:

___________________________

Home Address:

____________________________

___________________________

____________________________

Phone (home):

___________________________

Phone home):

____________________________

Occupation:

___________________________

Occupation:

____________________________

Mobile:

___________________________

Mobile:

___________________________

Email:

___________________________

Email:

___________________________

BROTHERS AND SISTERS:

Age

School

_______________________________________

__________

___________________________

_______________________________________

__________

___________________________

_______________________________________

__________

___________________________

Please complete the section below Name ________________________________________________ (Mother/Guardian)

Date _____________________

Signature ______________________________________

Name ________________________________________________ (Father/Guardian)

Date _____________________

Signature ______________________________________

Paid $50.00

 Cheque

 Credit Card

Credit Card details

    Name ________________________________________________

Amount $50.00

expiry date

Visa 

/

Mastercard 

No plastic sleeves or folders please. My reasons for applying (attach 100-200 words)  How will this Scholarship be of benefit to you the student and what will you be able to contribute to the Loreto community?



Supporting Evidence (please provide copies of all documents as originals will not be returned)  Provide your most recent school report.  Provide most recent NAPLAN results.  Provide evidence of any recent relevant achievements (eg competitions etc).  Provide academic references from two sources (eg teacher, co-curricular coordinator,coach).



Wider School Involvement  Provide a statement (no more than 100 words) and/or evidence of your involvement in the co-curricular life of your current school.  This may include sport, debating, public speaking, performing arts, tournament of minds or leadership positions.



Wider Community Involvement  Provide a statement (no more than 100 words) and/or evidence of your involvement in the wider community. This may include sporting, church or other community service activities.

Applications close 28 February 2014 Submit to: Scholarship Application 2015 Enrolments Manager Loreto College 316 Portrush Road MARRYATVILLE SA 5068