Nedlands (Secondary) Teachers College Memorial Award

Application Form

All questions on the application form must be completed and ALL supporting documentation including written statement must be submitted as part of application as indicated otherwise the application may

not be considered.

Applicant Details
Student No. / Click here to enter text. / First Name: / Click here to enter text. / Surname: / Click here to enter text.
Contact PH: / Click here to enter text. / Student email address: / Click here to enter text.
Please ensure that your correspondence address details are updated on SIMO
Eligibility– If your response prompts the ‘You are ineligible for this scholarship’ comment, then unfortunately we will not require an application from you at this time, however we would encourage and welcome you to apply for future scholarships where you meet the eligibility criteria.
1.  Are you an Australian Citizen or an Australian Permanent Resident? / Yes
No – you are ineligible for this scholarship
2.  Are you commencing or enrolled in the first year of a Master of Education course (having completed no more than two units of the Med?) / Yes
No – you are ineligible for this scholarship
3.  Are you currently teaching secondary education in a Western Australian School? / Yes
No – you are ineligible for this scholarship
4.  Is the school a rural or remote secondary school? / Yes
No
5.  What is the name of the secondary school where you are currently teaching?
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6.  What is the District named and postcode where the school is situated?
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Checklist – Please tick to indicate that you have attached the following supporting documentation (where applicable) to this application form. Failure to provide supporting documentation may affect you receiving a scholarship offer. Please copy /scan
Evidence of Australian Citizenship or Permanent Residency status
Copy of results of previous 3 year degree if not studied at ECU
A CV of no more than two A4 pages, summarising your qualifying degree for the Master of Education
Important: Giving false or misleading information is a serious offence under the Criminal Code Act 1995
Declaration: I declare that the information I have supplied on this form and in associated attachments is complete, true and correct, to the best of my knowledge. I understand that if any information is found to be incorrect, my application may be cancelled.
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Signature Date