Caboolture Campus Student Assistance Scheme Application Form INFORMATION FOR APPLICANTS ABOUT THE CABOOLTURE CAMPUS STUDENT ASSISTANCE SCHEME (CCSAS) The Caboolture Campus Student Assistance Scheme targets students from low-income backgrounds or students who face significant financial barriers to studying at university. Assistance is available to students able to demonstrate financial difficulties for the purposes listed below. Assistance provided will be dependent on available funding. WHO IS ELIGIBLE? All students experiencing financial difficulty who are enrolled in courses at the Caboolture Campus are eligible to apply. DUE DATES Applications close end of week 1 of each semester Graduation bursary closes of semester end of week 12 FURTHER INFORMATION For further information please contact the Student Engagement Officer Ph: 5316 7461 or IMPORTANT NOTE: All information and documentation supplied by you will be treated confidentially and in accordance with QUT's Privacy Policy. It will only be disclosed to QUT staff involved in the selection process. For more information on privacy at QUT, including QUT's privacy plan go to PERSONAL DETAILS Name Student No Mobile QUT Email Year Level Course Code (e.g. 1st or 2nd year student) Do you identify as an Aboriginal and/or Torres Strait Islander Person (Yes / No) INDIVIDUAL & FAMILY FINANCIAL SITUATION Your Situation Complete Single - living at home and supported financially by family Section 1 & 2 Single - living at home with parent/guardian and Complete financially independent Section 1 & 2 (i.e. share all expenses) Single - living away from home and supported Complete financially by family Section 1 & 2 one of the Complete Single - financially independent following describes Section 1 only your current Complete Sole parent/Carer situation? Section 1 only Complete Partnered, no dependants Section 1 & 2 Complete Partnered, with dependants Section 1 & 2 Other (please specify) Number of dependants (under 18) that you support If you are supported by your parents(s)/caregiver(s) or partner, number of dependants that they support SECTION 1: Your Individual Financial Situation Abstudy Aged Pension
Caboolture Campus Student Assistance Scheme Application Form INFORMATION FOR APPLICANTS ABOUT THE CABOOLTURE CAMPUS STUDENT ASSISTANCE SCHEME (CCSAS) The Caboolture Campus Student Assistance Scheme targets students from low-income backgrounds or students who face significant financial barriers to studying at university. Assistance is available to students able to demonstrate financial difficulties for the purposes listed below. Assistance provided will be dependent on available funding. WHO IS ELIGIBLE? All students experiencing financial difficulty who are enrolled in courses at the Caboolture Campus are eligible to apply. DUE DATES Applications close end of week 1 of each semester Graduation bursary closes end of week 12 of semester FURTHER INFORMATION For further information please contact the Student Engagement Officer Ph: 5316 7461 or IMPORTANT NOTE: All information and documentation supplied by you will be treated confidentially and in accordance with QUT's Privacy Policy. It will only be disclosed to QUT staff involved in the selection process. For more information on privacy at QUT, including QUT's privacy plan go to PERSONAL DETAILS Name Student No Mobile QUT Email Course Code Year Level (e.g. 1st or 2nd year student) Do you identify as an Aboriginal and/or Torres Strait Islander Person (Yes / No) INDIVIDUAL & FAMILY FINANCIAL SITUATION Your Situation one of the following describes your current situation? Single - living at home and supported financially by family Complete Section 1 & 2 Single - living at home with parent/guardian and financially independent (i.e. share all expenses) Complete Section 1 & 2 Single - living away from home and supported financially by family Complete Section 1 & 2 Single - financially independent Complete Section 1 only Sole parent/Carer Complete Section 1 only Partnered, no dependants Complete Section 1 & 2 Partnered, with dependants Complete Section 1 & 2 Other (please specify) Number of dependants (under 18) that you support If you are supported by your parents(s)/caregiver(s) or partner, number of dependants that they support SECTION 1: Your Individual Financial Situation Abstudy Aged Pension
ccsas-application-form.docx