UOW Future Leaders Scholarship

The information you submit below will be used by UOW to process and administer your application for the award of the UOW Future Leaders Scholarship.

Your application will be shared with a panel of assessors consisting of UOW staff and all information will be treated in a confidential manner.

If you have any questions or require more information regarding this scholarship application, please contact UOW Fees & Scholarships on (02) 4252 8959 or at scholarships@uow.edu.au.

Personal details
Name Name First Last
Date of birth Date of birth / DD / MM YYYY
UOW student number (if applicable)
Email address
Contact number
Supporting documentation

Applicants must provide:
a) Comprehensive CV with details on extracurricular activities or leadership activities;
b) Personal statement (one page) - must address key achievement, leadership, and community activities.
Please upload your supporting documentation
Declaration

Please note that this scholarship application is subject to the following terms and conditions.

1. Privacy
The University of Wollongong (UOW) is committed to protecting your privacy. UOW (including its controlled entities) will take all reasonable steps to ensure that the collection, use, disclosure and handling of personal or health information provided by you complies with the Privacy and Personal Information Act 1998 (NSW) and the Health Records and Information Privacy Act 2002 (NSW) which are incorporated into UOW's Privacy Policy, which may be viewed at www.uow.edu.au/about/privacy or by calling 1300 367 869 (within Australia).

2. Disclosure
The information you provide in this application may be used by UOW (including its controlled entities) for the purpose of assessing this scholarship application and your suitability for the award of either a graduate or undergraduate scholarship or any other reasonably related purpose.

3. Consent
You understand that UOW may need to verify the information you have supplied and may exchange data with other institutions for this purpose.

You further understand that UOW deals with regulatory bodies and also includes a number of separate entities, any of which may be granted all or part of this information in processing this application.

You understand that if successful as a recipient of the Scholarship, you may be required to attend and participate in UOW events and/or promotional activities including media announcements for this Scholarship.

4. Representations and Warranties
You represent and warrant that all information provided by you is truthful, accurate and complete including (but without limitation to) your name, address and telephone number.

You warrant that you have provided all relevant supporting documentation for your application as detailed in the checklist included in the relevant scholarship application.
Acknowledgement

In submitting this form I acknowledge that:
a. all information is true and correct; and
b. I have read and understand the terms and conditions as outlined above.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

UOW Future Leaders Scholarship

UOW Future Leaders Scholarship

Personal details

Supporting documentation

Declaration

Acknowledgement