Address line 2 Address line 3 Town/City State/Province Postal code (if any) Country Note: Please check that the contact details are correct 6. Previous scholarships (attach a separate list if there is not enough space) Only include details of tertiary education scholarships or fellowships. Do not enter details if the scholarship did not lead to a formal qualification. * Denotes mandatory field Have you previously been awarded a scholarship or a Yes No fellowship?* 1. Scholarship/fellowship title / / Start date / / End date Qualification (if applicable) Country Institution 2. Scholarship/fellowship / / Start date / / End date Qualification (if applicable) Country Institution 7. Scholarship applications What other scholarships are you going to apply for this year? Note: Applying for more than one scholarship does not make you ineligible to apply for a scholarship. Have you previously applied for a DFAT (formerly AusAID) scholarship but were unsuccessful?* Yes No * Denotes mandatory field If how many times have you previously applied and in which years did you apply? (approximately 100 ‘Yes’, words limit): Have you previously been interviewed by Australia Awards Scholarships?* Yes No If in which years? ‘Yes’,
Address line 2 Address line 3 Town/City State/Province Postal code (if any) Country Note: Please check that the contact details are correct 6. Previous scholarships (attach a separate list if there is not enough space) Only include details of tertiary education scholarships or fellowships. Do not enter details if the scholarship did not lead to a formal qualification. * Denotes mandatory field Have you previously been awarded a scholarship or a fellowship?* Yes No 1. Scholarship/fellowship title Start date / / End date / / Qualification (if applicable) Institution Country 2. Scholarship/fellowship Start date / / End date / / Qualification (if applicable) Institution Country 7. Scholarship applications What other scholarships are you going to apply for this year? Note: Applying for more than one scholarship does not make you ineligible to apply for a scholarship. Have you previously applied for a DFAT (formerly AusAID) scholarship but were unsuccessful?* * Denotes mandatory field Yes No If ‘Yes’, how many times have you previously applied and in which years did you apply? (approximately 100 words limit): Have you previously been interviewed by Australia Awards Scholarships?* Yes No If ‘Yes’, in which years?
APPLICATION_FORM2016.docx