Student Grants

APPLICATION FOR AN INDIVIDUAL GRANT

BEFORE YOU START, PLEASE READ THESE STANDING ORDERS.
Student No*
Email Address*
Mobile*
Name*
Title Given or other Name Surname or Family Name
Semester Address*
Street Address Address Line 2 Suburb State Postcode Country
Course Details
Full Title of Course in which you are enrolled*
Course Code*
First Year of Enrolment*
When will you complete this course?*
DD slash MM slash YYYY
Your Bank Details
Bank Name*
BSB No*
Account No*
Name of Account Holder*
IF APPROVED THE GRANT WILL BE CREDITED TO THIS ACCOUNT
Grant Request
If the grant is approved, how will the money be used?*
Please provide as much detail as possible to explain the reason for your application.
Course Coordinator
- This student is of good academic standing
- I recommend that this Grant is approved
Name of Course Coordinator*
Details of Secondment
Company Name*
Contact Name
Location*
City State Country
Start Date*
DD slash MM slash YYYY
Finish Date*
DD slash MM slash YYYY
Declaration*
I declare that to the best of my knowledge the foregoing particulars are true and correct and you confirm that you have read these standing orders. (Incomplete applications will be returned which may delay consideration of the grant.)
Co-ordinator Comment
Office use only

Send to Co-ordinator

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