Regional Student Scholarship Application
Candidate Details
Name
*
First Name
Surname
Second Name
Date of Birth
*
-
Day
-
Month
Year
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
*
Country
Year level on entry
*
Please Select
Pre-Kindergarten
Kindergarten
Pre-Primary
1
2
3
4
5
6
7
8
9
10
11
12
Entry year
*
Please Select
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Current year level
*
Please Select
Pre-Kindergarten
Kindergarten
Pre-Primary
1
2
3
4
5
6
7
8
9
10
11
12
Current school
*
Parent/Guardian details
Parent/Guardian 1
Relationship to Student
*
Please Select
Mother
Father
Step Mother
Step Father
Sister
Brother
Guardian
Aunt
Uncle
Grandmother
Grandfather
Case Manager
Name
*
First Name
Surname
Second Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
*
Country
Phone Number (mobile)
*
Please enter a valid phone number.
Email
*
Occupation
*
Parent/Guardian 2
Relationship to Student
*
Please Select
Mother
Father
Step Mother
Step Father
Sister
Brother
Guardian
Aunt
Uncle
Grandmother
Grandfather
Case Manager
Name
*
First Name
Surname
Second Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
*
Country
Phone Number (mobile)
*
Please enter a valid phone number.
Email
*
Occupation
*
Please upload the following supporting documents to complete your application and tick to indicate they have included:
Copies of two most recent academic reports
Latest NAPLAN report
A summary of achievements outside the classroom
A hand-written letter to the Principal outlining achievements and the reason for their application for a place at St Stephen's School
A character reference from a teacher, coach or community member
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Candidate's recent achievements - please list any/all recent achievements in school work (e.g. competition results, awards, prizes, musical/artistic attainment etc.)
Candidate's abilities, interests and involvement - please list any/all other abilities, interests and school or community involvement (e.g. sports played, positions held, club memberships, community service etc.
Other relevant information - please provide any further details that will support your application
Financial and other family circumstances - please indicate any financial or other family circumstance deemed relevant
Signature of parents/guardians
Parent/Guardian 1 full name
*
First Name
Last Name
Parent/Guardian 1 signature
Date
-
Day
-
Month
Year
Date
Parent/Guardian 2 full name
First Name
Last Name
Parent/Guardian 2 signature
Date
-
Day
-
Month
Year
Date
Submit
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