Graduate School of Education 2018 Elsie Hope Solly Scholarship in Mathematics Education NOTE: to be completed in conjunction with Conditions of Award Closing Date 8 April 2018 – 1. APPLICANT’S DETAILS Please note to be eligible for the scholarship you must be a citizen or permanent resident of . Student ID No: Title (Mr/Mrs/Miss/Ms etc): Family Name: Given Names: Correspondence Address: State Country: Postcode: Phone No: Mobile No: Facsimile: Email Address: 2. COURSE OF STUDY (for which you are seeking scholarship support) Degree: Student Number (if known) Date of Commencement: When do you expect to complete your course? 3. AWARDS/ SCHOLARSHIPS Have you previously held any other awards/ scholarships? YES / NO If YES, please give details: (delete whichever is not applicable) Year Name of Award / Scholarship Expiry 4. QUALIFICATIONS Please provide details of all your course results undertaken at other recognized Universities: Year Course Institution Supporting Documentation: A certified copy of your latest results must be attached to your application. Applications without the relevant transcripts will not be processed. Please attach details of your undergraduate qualifications and attach original (or certified copies*) of academic transcripts if you completed all or any part of your degree or degrees at a university other than The University of Western Australia. Failure to provide academic transcripts for degrees or part thereof at another university will jeopardize your application. 5. DECLARATION I declare that I am an Australian Citizen or Permanent Resident of Australia. I declare that the information supplied by me on this form and any attachments, is complete, true and correct in particular. I understand that the Scholarship Committee reserves the right to vary or reverse any decision regarding the scholarship made on the basis of incorrect or incomplete information. I have read the conditions of the award as part of the application process. I agree to abide by the conditions of the award as amended from time to time. Signature of Applicant Date 6. CHECKLIST
Graduate School of Education 2018 Elsie Hope Solly Scholarship in Mathematics Education NOTE: to be completed in conjunction with Conditions of Award Closing Date – 8 April 2018 1. APPLICANT’S DETAILS Please note to be eligible for the scholarship you must be a citizen or permanent resident of . Student ID No: Title (Mr/Mrs/Miss/Ms etc): Family Name: Given Names: Correspondence Address: State Country: Postcode: Phone No: Mobile No: Facsimile: Email Address: 2. COURSE OF STUDY (for which you are seeking scholarship support) Degree: Student Number (if known) Date of Commencement: When do you expect to complete your course? 3. AWARDS/ SCHOLARSHIPS Have you previously held any other awards/ scholarships? YES / NO If YES, please give details: (delete whichever is not applicable) Year Name of Award / Scholarship Expiry 4. QUALIFICATIONS Please provide details of all your course results undertaken at other recognized Universities: Year Course Institution Supporting Documentation: A certified copy of your latest results must be attached to your application. Applications without the relevant transcripts will not be processed. Please attach details of your undergraduate qualifications and attach original (or certified copies*) of academic transcripts if you completed all or any part of your degree or degrees at a university other than The University of Western Australia. Failure to provide academic transcripts for degrees or part thereof at another university will jeopardize your application. 5. DECLARATION I declare that I am an Australian Citizen or Permanent Resident of Australia. I declare that the information supplied by me on this form and any attachments, is complete, true and correct in particular. I understand that the Scholarship Committee reserves the right to vary or reverse any decision regarding the scholarship made on the basis of incorrect or incomplete information. I have read the conditions of the award as part of the application process. I agree to abide by the conditions of the award as amended from time to time. Signature of Applicant Date 6. CHECKLIST
2018-Elsie-Hope-Solly-Scholarship-Application-Form.docx