Vacation Scholarships Application Form Summer 2008

This application form may only be submitted once, if more than one application is submitted, the most recent application will be considered.

Section A: Personal Details

Title
Given Names
Surname
Street Number and Name
Suburb
State
Postcode
Email
Monash Student Number
Home Phone Number

Are you:
An Australian Citizen
A New Zealand citizen
Holder of an Australian permanent humanitarian visa
Holder of an Australian Permanent resident visa
An International student

I am enrolled as a full-time student (at least 18 credit points) in semester 2 2008 and will be enrolled as a full-time student in 2009. Yes No Students that select ‘no’ are not eligible for the vacation scholarship program

Section B: Academic Details

Course Code
Course Title
University
Year Level
Currently enrolled and completed units
Briefly state your reasons for applying for this Vacation Scholarship and how you believe you will benefit from undertaking this project. Include details regarding your interest in the area of research listed above and your future plans.

Note:

We will obtain your Monash University results from the Student Records System. If you are studying at another university, please send a certified copy of your transcript of results to

Coursework Scholarships Unit,
Student Administration and Systems,
Building 3C, Clayton Campus,
Monash University, VIC, 3800

Section C: Project Details

List your preferences for Vacation Scholarship Projects (List the project code only. These are available on the vacation scholarships website)
1
2
3
4
5

Section D: Declaration

All applicants must complete this section

I have read and understood the information provided by the University on the coursework scholarships web page or as detailed in the Monash University Coursework Scholarships Guide 2009.

All information I have provided in this application form is true and accurate to the best of my knowledge at this time.
I understand that should the information be shown to be false at any stage, the scholarship will be terminated immediately and I will be liable to re-pay the University the total sum of any payments already made.

I acknowledge that giving false or misleading information is a serious offence under the criminal code (Commonwealth).

I understand that the coursework scholarships unit may disclose the details of my application for selection purposes.

I understand that the coursework scholarships unit may disclose the details of any scholarships I am awarded to other areas of Monash University.

I understand that my details may be passed on to donors who fund scholarships for students at Monash University.

I agree (Mandatory)

Contacts

Should you require assistance in completing your application, please contact the Coursework Scholarships Unit on telephone 03 9902 6011 or via ask.monash - your online help service.

If you are studying at another university, academic transcripts should be sent to:

Coursework Scholarships Unit
Student Administration
Building 3C, Clayton Campus
Monash University Vic 3800