3508-V1 0913

Nestl Golden Chefs Hat ScholarshipApplication Form

In recognition of its ongoing commitment to developing future leaders in the foodservices industry, Nestl Professional has established four educational scholarships open for students commencing or continuing studies with William Angliss Institute in the field of Commercial Cookery.The Nestl Golden Chefs Hat Scholarship will be offered on an annual basis to eligible candidates who are either current students of William Angliss Institute, or are looking to study at William Angliss Institute at either the Melbourne or Sydney campuses..

General Information for ApplicantsScholarship applicants should note the following:

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Application Instructions1. Carefully read the eligibility criteria and terms and conditions applicable to this scholarship www.angliss.edu.au/foundation.

2. Complete all sections in block letters ineligible hand written applications will not be considered.

3. Ensure you enclose all supporting documentation with this application: t "DBEFNJDUSBOTDSJQUT t 1IPUPDPQZPGZPVSQBTTQPSUBOEPSCJSUIDFSUJmDBUF t &WJEFODFPGBWBMJETUVEFOUWJTBGPSJOUFSOBUJPOBMTUVEFOUTPOMZ

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4. Sign the application form

5.5IFBQQMJDBUJPOGPSNBOEPUIFSSFMFWBOUEPDVNFOUBUJPONVTUCFDPNQMFUFEBOETVCNJUUFEJOEVQMJDBUFCZno later than 15 November for semester 1 and 30 May for semester 2 UPUIF'PVOEBUJPO0GmDFSBU8JMMJBN"OHMJTT*OTUJUVUF

Foundation Officer William Angliss Institute 10#PY .FMCPVSOF7*$

1I Email: foundation@angliss.edu.au

6.5IJTBQQMJDBUJPOJTUIFQSPQFSUZPG8JMMJBN"OHMJTT*OTUJUVUF4VQQPSUJOHEPDVNFOUBUJPOXJMM/05CFSFUVSOFE

3508-V1 0913

5JUMMF .S .ST .T %S 0UIFSName:

1PTJUJPO0SHBOJTBUJPORelationship to referee:

Telephone:

Mobile:

Scholarship Name1MFBTFJOTFSUUIFUZQFPGUIFTDIPMBSTIJQZPVBSFBQQMZJOHGPSQMFBTFTFMFDUPOFPQUJPOPOMZ .FSJU"DBEFNJD"DIJFWFNFOU &RVJUZIBSETIJQ

Application DetailsAre you a currently enrolled Institute student? Yes No

)BWFZPVQSFWJPVTMZBQQMJFEUPUIF*OTUJUVUF :FT /PCourse Code: Course Name:

$BNQVT 4UVEZ.PEF 'VMMUJNF 1BSUUJNF 'MFYJCMFEFMJWFSZ"SFZPVDVSSFOUMZFOSPMMFEXJUIBOPUIFSFEVDBUJPOQSPWJEFS :FT /P*GZFTQMFBTFJOEJDBUFUIF4DIPPMPS5FSUJBSZ1SPWJEFSZPVBSFDVSSFOUMZFOSPMMFEBOEXIBUDPVSTFPSZFBSMFWFMZPVBSFDVSSFOUMZVOEFSUBLJOH&EVDBUJPO1SPWJEFS/BNF $PVSTF:FBS-FWFMAre you an International Student? Yes No

*GZFTQMFBTFTQFDJGZZPVS4UVEFOU7JTB/VNCFS &YQJSZ%BUFD D / M M / Y Y Y Y

Personal Details 5JUMMF .S .ST .T %S 0UIFS'BNJMZOBNF(JWFOOBNFT %BUFPG#JSUID D / M M / Y Y Y Y 4FY .BMF 'FNBMFCurrent Age:

Country of birth:

Home address

Address:

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Telephone: Mobile:

'BY &NBJMNBOEBUPSZ

Reason/grounds for application "DBEFNJDBDIJFWFNFOU

&RVJUZIBSETIJQ

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Contact details of two refereest *GZPVBSFBQQMZJOHPOUIFCBTJTPGBDBEFNJDFYDFMMFODFPOFPGZPVSSFGFSFFTNVTUCFBUFBDIFSPSUSBJOFSGSPNBSFDPHOJTFEUSBJOJOHPSFEVDBUJPOQSPWJEFSXIJDI

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(1'JOBODJBM$POTVMUBOUFUDt *OBEEJUJPOZPVNBZBMTPQSPWJEFBQFSTPOBMPSQSPGFTTJPOBMSFGFSFFUPTVQQPSUZPVSBQQMJDBUJPOe.g. an employer.

Referee 1: Referee 2:

5JUMMF .S .ST .T %S 0UIFSName:

1PTJUJPO0SHBOJTBUJPORelationship to referee:

Telephone:

Mobile:

3508-V1 0913

Written statement1MFBTFTVQQMZBXSJUUFOTUBUFNFOUNBYJNVNXPSETTVQQPSUJOHZPVSBQQMJDBUJPO*GUIFSFJTOPUFOPVHISPPNCFMPXQMFBTFBUUBDIBOZadditionaldocuments.

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1MFBTFQSPWJEFBOZBEEJUJPOBMEPDVNFOUBUJPOUIBUNBZDPNQMFNFOUZPVSBQQMJDBUJPO

Checklist $PNQMFUFEBMMRVFTUJPOPOUIFBQQMJDBUJPOGPSN

Attached your written statement/s addressing the selection criteria

1SPWJEFESFGFSFFEFUBJMT

4VCNJUUFEBDPQZPGZPVSDVSSFOUWJTBBOEQBTTQPSUXJUIyourapplication

Submitted academic results from the most recent semester

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4VCNJUUFEMFUUFSGSPNNFEJDBMQSBDUJUJPOFSJGBQQMJDBCMF

4VCNJUUFEBDPQZPGBOZSFMFWBOUJOGPSNBUJPOUIBUXPVMETVQQPSUyourapplication

Read and understood the terms and conditions of the scholarship BQQMJDBUJPOQSPDFTTBWBJMBCMFBUXXXBOHMJTTFEVBVGPVOEBUJPO

Signed the application form

Enclose copies of all supporting documentation with thisapplication

Please note: As part of the assessment process you may be required to submit additional information.

3508-V1 0913

Declaration*EFDMBSFUIBUUIFJOGPSNBUJPOQSPWJEFEJTUPUIFCFTUPGNZVOEFSTUBOEJOHBOELOPXMFEHFDPNQMFUFBOEDPSSFDU*BNBXBSFUIBUUIFSFBSFTFWFSFQFOBMUJFTGPSQSPWJEJOHGBMTFPSNJTMFBEJOHJOGPSNBUJPO*VOEFSTUBOEBOEBDLOPXMFEHFUIBUUIFSFNBZCFBOFFEGPS8JMMJBN"OHMJTT*OTUJUVUFUPTIBSFNZJOGPSNBUJPOXJUIBUIJSEQBSUZTVDIBTEPOPSTBOETQPOTPSTFUD*HJWFNZQFSNJTTJPOGPS8JMMJBN"OHMJTT*OTUJUVUFUPTVQQMZBOZSFMFWBOUPGmDJBMSFDPSETJOBDDPSEBODFXJUIUIFUFSNTBOEDPOEJUJPOTBOEQSJWBDZMFHJTMBUJPO

Signature: Date: D D / M M / Y Y Y Y

Submitting the applicationTo be eligible, applications must be submitted no later than 15 November for semester 1 and 30 May for semester 2. The application form BOEPUIFSSFMFWBOUEPDVNFOUBUJPONVTUCFDPNQMFUFEBOETVCNJUUFEJOEVQMJDBUFUPUIF'PVOEBUJPO0GmDFSBU8JMMJBN"OHMJTT*OTUJUVUFFoundation Officer William Angliss Institute 10#PY .FMCPVSOF7*$ 1I Email: foundation@angliss.edu.au

Office use only

4DIPMBSTIJQCVSTBSZBQQMJDBUJPO.FSJU&RVJUZScholarship/bursary successful:

Scholarship/bursary unsuccessful:

"QQSPWFECZ /BNF

Signature: Date: D D / M M / Y Y Y Y