Opening Date: 1 2018 Closing Date: 28 2018, 5PM Personal details Name Gender Male Female Address Date of Birth Age: What community do you identify yourself with (eg. Kaurna, Ngarrindjeri etc.) (home) Phone (Work) Mobile Email Are you a resident of the City of Port Yes No Adelaide Enfield Name of education institution you intend attending in 2018 2018 Course Name 2018 Course Level Are you enrolled as a full-time Yes No student? If No please attach a statement detailing the reasons you are unable to undertake full-time studies. Have you previously received any Yes No awards or scholarships? If yes please list. What hobbies/interests do you have
Opening Date: 1 2018 Closing Date: 28 2018, 5PM Personal details Name Gender Male Female Address Date of Birth Age: What community do you identify yourself with (eg. Kaurna, Ngarrindjeri etc.) (home) Phone (Work) Mobile Email Are you a resident of the City of Port Adelaide Enfield Yes No Name of education institution you intend attending in 2018 2018 Course Name 2018 Course Level Are you enrolled as a full-time student? If No please attach a statement detailing the reasons you are unable to undertake full-time studies. Yes No Have you previously received any awards or scholarships? If yes please list. Yes No What hobbies/interests do you have
ATSI%20Scholarship%20Application%20Form%202018.docx