Coursework Scholarship Application Form

This form is to be used when applying for a coursework scholarship.

Please refer to the specific scholarship webpage for the documents you need to upload which will be listed under 'How do i apply?'

Scholarship you are applying for

Scholarship details

Scholarship Name *

How did you find out about this scholarship program? *

Please explain *

Personal details

Student ID or QTAC reference number

First name *

Last name *

Email address * (JCU email address preferred)

Postal address * Please include postcode

Phone number * Mobile number preferred

Citizenship details

Citizenship status *

Other Citizenship status *

Course details

Course enrolled in * (or intending to enrol in)

Document uploads

Individual files greater than 750Kb in size should be sent by separate email to scholarships@jcu.edu.au. Please include your Student ID and Scholarship title in your email

Please allow time for your files to upload.

Document Type	Document Upload

Applicant declaration

Your application cannot be considered unless you accept these conditions *

I have read and agree to the conditions below

I declare that I have read and understood the Scholarship Rules for the scholarship which I am applying for.
I declare that I have read and understood the Coursework Scholarships, Bursary and Grants policy.
I authorise JCU to verify any information provided by me.
The information I have been provided may be shared with staff involved in the selection process.
I declare that, to the best of my knowledge, all information supplied in this application is true and correct.
I am aware that my application and supporting documentation will only be used for the Scholarship for which I have applied.
I recognise that it is my responsibility to provide all the necessary documentation to support this application as per the application procedure.

Privacy Statement *

Read JCU's Privacy Statement

Privacy statement

James Cook University complies with the Information Privacy Act 2009.

The information contained in this form is collected for scholarship and administrative purposes. The information will be held by James Cook University and may be accessed and used by people employed by the University.

Personal information will not be passed on to any other external bodies, other than as outlined above, without my authorisation unless required or authorised by law, or otherwise in accordance with the Information Privacy Principles.

The provision of this information is voluntary, but if this information is not provided, the University may be unable to process my application or provide services to me. I have a right of access to, and correction of my personal information, subject to any exceptions in relevant legislation. I can direct any enquiries I may have in relation to privacy to the University’s Privacy Officer (Deputy Director, Governance Support and Corporate Information, Governance and Corporate Services Office, James Cook University, Townsville Qld 4811).

Ready to submit?

Please allow for file upload and processing time when you submit your application. Larger files will have a longer upload time.

Select Submit ONCE ONLY. If the page does not refresh to show the SUCCESS message it has not been submitted. PLEASE TRY AGAIN.

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