Tertiary Scholarship Application Form

Name(Required)

Surname First Name

Date of Birth(Required)

Address(Required)

Street Address Suburb State Post Code

Telephone Number(Required)

Email Address(Required)

Present School(Required)

Proposed Degree(Required)

Degree Duration(Required)

Name(Required)

Parent/Guardian Surname Parent/Guardian First Name

Address(Required)

Street Address Suburb State Post Code

RWC Membership Number(Required)

Relationship to Applicant(Required)

Occupation(Required)

ATAR advice(Required)

Max. file size: 128 MB.

Higher School Certificate Results(Required)

Max. file size: 128 MB.

University or TAFE enrolment(Required)

Max. file size: 128 MB.

Two (2) support references(Required)

Max. file size: 128 MB.

Supporting essay on how the scholarship will help you with your educational journey (500 words)(Required)

Max. file size: 128 MB.

Any supporting documents(Required)

Max. file size: 128 MB.

Revesby Workers’ Club Tertiary Scholarships Application Form