Application for High Performance Student Athlete Encouragement Bursary

I am an athlete registered with the High Performance Student Athlete Program (HPSA) at USC.

Title

Mrs

Miss

Other

Other title - optional

I identify as - optional

Aboriginal

Torres Strait Islander

Australian South Sea Islander

None of the above

Is English your first language?

Yes

If no, what is your first language?

Citizenship

Australian citizen

New Zealand citizen

Permanent resident of Australia

Permanent Humanitarian visa holder

International student

Mailing address - Number and street / P.O. Box

Mailing address - Suburb or Town

Mailing address - State

Mailing address - Postcode

Mailing address - Country

Is your permanent residential address the same as your current mailing address?

Yes

Permanent residential address - Number and street

Permanent residential address - Suburb or Town

Permanent residential address - State

Permanent residential address - Postcode

Permanent residential address - Country

Alternate email address - optional

USC campus

USC Sunshine Coast

USC Moreton Bay

USC Fraser Coast

USC Caboolture

USC Gympie

USC Southbank

Which of the following best describes your current living situation?

Single – living at home and wholly or partially supported financially by family

Single – living at home and financially independent

Single – living away from home and wholly or partially supported financially by family

Single – living away from home and financially independent

Sole parent/carer

Partnered, no dependants

Partnered, with dependants

Other

If other, please describe your current living situation.

If you are a sole parent/carer, please list the number of children you are responsible for.

If you are partnered with dependants, please list the number of children you are responsible for.

Do you receive any Centrelink Income Support Payments?

Yes

If yes, specify payment type.

Provide your Centrelink Customer Reference Number (CRN)

Upload Centrelink income statement.

Student Declaration for the Department of Human Services (formerly Centrelink). I authorise: USC to use Centrelink Confirmation eServices to perform a Centrelink enquiry of my Centrelink Customer details and concession card status in order to enable the business to determine if I qualify for a concession, rebate or service; the Australian Government Department of Human Services (the Department) to provide the results of that enquiry to USC. I understand that: the Department will use information I have provided to USC to confirm eligibility for a Scholarship and/or Bursary and will disclose to USC my personal information including my name, address, concession card status, payment type, payment status, income, assets, one-off payment, deduction and shared care arrangements; this consent, once signed, remains valid while I am a student of USC unless I withdraw it by contacting USC or the Department; I can obtain proof of my circumstances/details from the Department and provide it to USC so that my eligibility for a Scholarship and/ or Bursary can be determined; if I withdraw my consent or do not alternatively provide proof of my circumstances/details, I may not be eligible for a Scholarship and/or Bursary provided by USC.

Are you dependent on a parent/guardian or partner/spouse who receives Centrelink income support payments on your behalf?

Yes

If yes, specify payment type for parent/guardian or partner/spouse.

Complete the details for your parent/guardian or partner/spouse - What is their CRN number?

Complete the details for your parent/guardian or partner/spouse - What is their Last name / Surname?

Complete the details below for your parent/guardian or partner/spouse - What is their date of birth?

Consent note: I have been granted permission from my parent/guardian or partner/spouse to provide their CRN for the purposes of electronic confirmation to determine my eligibility for scholarships available to myself as the applicant.

Attach your parent/guardian's or /partner/spouse's Centrelink income statement.

Do you receive Rent Assistance?

Yes

Do you receive an income from employment?

Yes

Please provide copies of 3 recent consecutive payslips.

Upload evidence of income - File 1

Upload evidence of income - File 2

Upload evidence of income - File 3

Does your partner/spouse receive an income from any source?

Yes

Please provide evidence of your partner/spouses income from all sources.

Upload evidence of partner/spouse income - File 1

Upload evidence of partner/spouse income - File 2 - optional

Upload evidence of partner/spouse income - File 3 - optional

Upload evidence of partner/spouse income - File 4 - optional

Do you receive an income from any other source?

Yes

Please provide evidence of your income from all other sources.

Upload evidence of other income - File 1

Upload evidence of other income - File 2 - optional

Upload evidence of other income - File 3 - optional

How many hours on average do you work per fortnight in paid employment? - optional

Personal statement

In submitting this application, I declare that the information supplied on this form is complete and correct to the best of my knowledge. If any of the information is found to be false or misleading, I accept that the University may cancel any scholarship or bursary that might be awarded to me on the basis of this application and I may be required to repay any monies so obtained. I authorise USC to check my residency status with the relevant government authorities.

The University of the Sunshine Coast collects, stores and uses personal information only for the purposes of administering student and prospective student admissions, enrolment and education. The information collected is confidential and will not be disclosed to third parties without your consent, except to meet government, legal or other regulatory authority requirements. For further information consult the University’s Information Management Framework - Governing Policy.

Phone: +61 7 5430 2890 | Email: scholarships@usc.edu.au

Application for High Performance Student Athlete Encouragement Bursary | UniSC | University of the Sunshine Coast, Queensland, Australia

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Application for High Performance Student Athlete Encouragement Bursary | UniSC | University of the Sunshine Coast, Queensland, Australia

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Search

News

Staff

Application for High Performance Student Athlete Encouragement Bursary

Who can apply?

How to apply

Value

Application form