Application Form - Flinders University

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18 Νοε 2013 (πριν από 3 χρόνια και 4 μήνες)

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Sir Ross & Keith Smith Fund Honou
rs Scholarship

1




Application Form



Sir Ross & Keith Smith Fund Honours Scholarship


NOTES FOR APPLICANTS


Applicants must: be Australian citizens or permanent residents of Australia who normally reside in South Australia;
be enrolled in or accepted for admission in
to an honours program offered by Flinders University within the Faculty of
Science and Engineering and undertaking an honours research project related to aeronautics and aerospace
technology. Two scholarships valued at $3,500 each may be awarded annually.
The scholarships will be awarded
on the basis of academic merit and the extent to which an applicant's honours research project is relevant to
aeronautics and aerospace technology.


Students are strongly encouraged to complete this form electronically, whe
re possible, to ensure that responses
can be easily read. This form can be downloaded from http://www.flinders.edu.au/scholarships/


Applications must be lodged with the Higher Degree Administration and Scholarships Office, Union Building
Basement, Flinder
s University, GPO Box 2100, Adelaide SA 5001, Australia, by
26

March 2010
. Further
information is available from the University's scholarships website: http://www.flinders.edu.au/scholarships or the
Higher Degree Administration and Scholarships Office, ema
il: scholarships@flinders.edu.au, ph (08) 8201 3115.


PERSONAL

DETAILS


Title (
Mr/Ms/Mrs
):







First Name:







Family Name:








Date of Birth:








Student ID:








DD / MM / YYYY




Address:





























Number & Street Name

Suburb/Town


State


Postcode

Phone:






















Home

Mobile

Fax

Email:








Are you (tick appropriate box):


Australian Citizen



Australian Permanent Resident



Other. You are not eligible to apply for this scholarship.


RESIDENCY

DETAILS


What is your permanent home address?










Where did you complete the final two years of high school?


School Name

Postcode

Date(s) of attendance
























































For office use only

Database


Income Support


Transcript(s)



Sir Ross & Keith Smith Fund Honours Scholarship

2


ACADEMIC DETAILS


Your aca
demic record for studies at Flinders University will be obtained by the Higher Degree Administration and
Scholarships Office and attached to your application. If you have completed any part of your current undergraduate
course at another institution, you
m
ust

attach
the original or a certified copy of your

academic transcript for those
studies
.


Have you applied for/been offered admission to/enrolled in an Honours course at Flinders University in 2010?



Applied



Offered




Pl敡s攠e瑴tc栠h⁣潰y ⁴ 攠eff敲e⁡ missi潮⁴ ⁈潮潵rs


Enrolled



No




Y潵畳琠t灰ly⁳数慲慴敬y⁴ ⁴ 攠e灰r潰ri慴a⁆慣畬瑹⁦潲⁡摭issi潮⁴ ⁈潮潵rs⸠.潵r⁡ 灬ic慴a潮
c慮湯琠t攠e潮si摥r敤⁵ 瑩l⁹潵⁡ 灬y⁦潲⁡摭
issi潮⁴ ⁡ ⁈潮潵rs⁣潵rs攮e


Please
indicate study load:


Full
-
Time


Part
-
Time



HONOURS PROJECT


Honours Supervisor:








Honours Topic Title:








Please provide an outline of your honours project. Include in the outline details of the relevance of the honours
project to aeronautics and aerospace technology
. Please attach additional pages if insuff
icient space below.









Sir Ross & Keith Smith Fund Honours Scholarship

3


CHECKLIST

Have you attached:

Yes

No

Not

Required



Original or certified copies of academic transcripts
for any part of your current
course completed at

another institution.






A copy of your offer letter for admission to Honours.





DECLARATION




I declare that the information I have given in this application and any attachments is true, accurate and
complete.



I acknowledge that the submission of incorrect information relating to my application may result in the
cancellation of a scholarship, and that this cancellation may take place at any time prior to or during my
enrolment.



Signature of Applicant:







Date:








Signature not required if application submitted via email from your
Flinders University email account.




Information provided by applicants is treated as confidential according to the University Policy on Access

to

Student Information.
Flinders
University will not disclose personal information without the student’s consent, except as required by law.