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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:

For various scholarships information, including relevant closing dates, please refer to the William Angliss Institute website www.angliss.edu.au/foundation

The scholarship will be awarded by the Foundation Board on the recommendation of the William Angliss Institute Foundation Selection Committee. The decision is final.

Scholarship payments will be made within 14 days of the Foundation receiving the acceptance form from successful applicants.

The successful applicant may be required to participate in relevant publicity events on behalf of William Angliss Institute and Nestl Professional.

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:

Academic transcripts Photocopy of your passport and or birth certificate Evidence of a valid student visa (for international students only) Evidence of financial hardship (if applicable) Letter from teacher/trainer or student counsellor (if applicable) Letter from medical practitioner (if applicable) Additional information that supports your application.

4. Sign the application form

5. The application form and other relevant documentation must be completed and submitted in duplicate by no later than 15 November for semester 1 and 30 May for semester 2 to the Foundation Officer at William Angliss Institute:

Foundation Officer William Angliss Institute PO Box 4052 Melbourne VIC 3000

Ph: +61 3 9606 2111 Email: foundation@angliss.edu.au

6. This application is the property of William Angliss Institute. Supporting documentation will NOT be returned.

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Titlle: Mr Mrs Ms Dr Other

Name:

Position:

Organisation:

Relationship to referee:

Telephone: ( )

Mobile: ( )

Scholarship NamePlease insert the type of the scholarship you are applying for: (please select one option only) Merit/Academic Achievement Equity (hardship)

Application DetailsAre you a currently enrolled Institute student? Yes No

Have you previously applied to the Institute? Yes No

Course Code: Course Name:

Campus: Study Mode: Full-time Part-time Flexible delivery

Are you currently enrolled with another education provider? Yes No

If yes, please indicate the School or Tertiary Provider you are currently enrolled, and what course or year level you are currently undertaking:

Education Provider Name: Course/Year Level:

Are you an International Student? Yes No

If yes, please specify your Student Visa Number: Expiry Date: D D / M M / Y Y Y Y

Personal Details Titlle: Mr Mrs Ms Dr Other

Family name:

Given name(s):

Date of Birth: D D / M M / Y Y Y Y Sex: Male Female

Current Age:

Country of birth:

Home address

Address:

Suburb: State: Postcode:

Telephone: ( ) Mobile: ( )

Fax: ( )

Email (mandatory)

Reason/grounds for application Academic achievement

Equity (hardship)

*Please note: if your application is on medical/psychological grounds you must submit a certificate from a registered practitioner.

Contact details of two referees If you are applying on the basis of academic excellence, one of your referees must be a teacher or trainer from a recognised training or education provider, which

may include William Angliss Institute (for current students). If you are applying on the basis of equity (medical, disability and financial hardship) your referee can be the William Angliss Institute student counsellor (for

current students only), GP, Financial Consultant, etc. In addition, you may also provide a personal or professional referee to support your application e.g. an employer.

Referee 1: Referee 2:

Titlle: Mr Mrs Ms Dr Other

Name:

Position:

Organisation:

Relationship to referee:

Telephone: ( )

Mobile: ( )

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Written statementPlease supply a written statement (maximum 600 words) supporting your application. If there is not enough room below, please attach any additionaldocuments.

Your statement should address your reason for applying for the scholarship/bursary and if required, the selection criteria relevant to the scholarship/you are applying for (please refer to www.angliss.edu.au/foundation).

Please provide any additional documentation that may complement your application.

Checklist Completed all question on the application form

Attached your written statement/s addressing the selection criteria

Provided referee details

Submitted a copy of your current visa and passport with yourapplication

Submitted academic results from the most recent semester

Submitted evidence of financial hardship (if applicable)

Submitted written assessment from student counsellor (if applicable)

Submitted letter from medical practitioner (if applicable)

Submitted a copy of any relevant information that would support yourapplication

Read and understood the terms and conditions of the scholarship application process (available at www.angliss.edu.au/foundation)

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.

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DeclarationI declare that the information provided is, to the best of my understanding and knowledge complete and correct. I am aware that there are severe penalties for providing false or misleading information. I understand and acknowledge that there may be a need for William Angliss Institute to share myinformation with a third party, such as donors and sponsors etc. I give my permission for William Angliss Institute to supply any relevant official records in accordance with the terms and conditions and privacy legislation.

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 andother relevant documentation must be completed and submitted in duplicate to the Foundation Officer at William Angliss Institute

Foundation Officer William Angliss Institute PO Box 4052 Melbourne VIC 3000 Ph: +61 3 9606 2111 Email: foundation@angliss.edu.au

Office use only

Scholarship/bursary application: Merit Equity

Scholarship/bursary successful:

Scholarship/bursary unsuccessful:

Approved by: (Name)

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