Application Form - Flinders University

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18 Νοε 2013 (πριν από 4 χρόνια και 1 μήνα)

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Sir Ross & Keith Smith Fund Honours 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 into an honours program offered by Flinders University within the Faculty
of
Science and Engineerin
g 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 applic
ant's honours research project is relevant to
aeronautics and aerospace technology.


Students are strongly encouraged to complete this form electronically, where 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
Student Finance
,

Student Centre,
Flinders University, GPO Box 2100, Adelaide
SA 5001, Australia, by
Friday
7
th September

20
12
. Further information is available from the University's
schol
arships website: http://www.f
linders.edu.au/scholarships or Student Financ
e, email:
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 academic record for studies at Flinders University will be obtained by
Student Financ
e and attached to your
application. If you have completed any part of your current
undergraduate course at another institution, you
must

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 201
2
?



Applied



Offered




Ple慳攠et瑡t栠愠a潰y ⁴ e f敲e⁡ missi潮⁴ ⁈ 湯畲u


Enrolled



No




Y潵畳琠t灰ly⁳数慲a瑥ty 瑯t瑨攠ep灲潰pi慴a⁆慣畬ty⁦潲⁡摭issi潮⁴ ⁈潮o畲u⸠Y潵r⁡ 灬ic慴a潮
c慮湯琠扥⁣o湳i摥r敤⁵湴nl you⁡ 灬y⁦潲⁡摭issi潮⁴ 慮⁈ 湯畲u⁣潵rs攮e


Please
indicate s
tudy 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 insufficient 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 a
nd
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.