Community grants application form

Student number #
First name
Surname
Email
Date of Birth Date of Birth / DD / MM YYYY
Degree
Enrolment level
Have you received any other scholarships or grants in 2023?

Have you received any other scholarships or grants in 2023? Yes No
Please specify the total value of the grants/scholarships
Will you have an Industry placement in Spring Session 2023?

Will you have an Industry placement in Spring Session 2023? Yes No
Please specify the duration of the industry placement
Question 1: Grant eligibility
Tell us about yourself and how this grant would assist you.
Must be between 5 and 500 words. Currently Entered: 0 words.
Question 2: Community Engagement
How do you contribute to your local and student communities?
Must be between 5 and 500 words. Currently Entered: 0 words.
Question 3: Motivation and Passion
What has influenced your decision to pursue your course?
Must be between 5 and 500 words. Currently Entered: 0 words.
Data Collection Statement

The information you provide on this form will be used by UOW to assess grant applications for UOW Bega.

Your application will be shared with the UOW Bega Scholarships Committee and stored on a secure server