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Page 1 St Benedict’s College, 21 St Benedict's Close, Mango Hill QLD 4509 Phone: 3385 8888 or Email: [email protected] Scholarship Applications for 2021 OPEN: Monday, 2 November 2020 CLOSE: Sunday, 9 May 2021 Preferences will be given to those applicants who would benefit from a Holistic Catholic education in the Benedictine spirituality but would be unable to attend without some financial assistance. Please note this form does not constitute an Enrolment Application. For new students visit www.stbenedictscollege.qld.edu.au to submit your Enrolment Application before submitting this form. Academic Scholarship applicants will be required to sit the ACER Scholarship Exam. Details can be found under Enrolments at www.stbenedictscollege.qld.edu.au ACER Scholarship Exam Required REGISTER BY: Sunday, 9 May 2021 EXAM DATE: Saturday, 22 May 2021, 9:00am to 11:00am APPLICANT DETAILS STUDENT PARENT/LEGAL GUARDIAN 1 Full Name: Surname Given Names Relationship to student: i.e. Parent, Stepparent, Legal Guardian Address: Street Address Suburb State Post code Home Ph: Work Ph: Mobile: Email: PARENT/LEGAL GUARDIAN 2 Full Name: Surname Given Names Relationship to student: i.e. Parent, Stepparent, Legal Guardian Address: Street Address Suburb State Post code Home Ph: Work Ph: Mobile: Email: Year Level: Intake Year: Full Name: Surname Given Names Address: Street Address Suburb State Post code

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  • Page 1 St Benedict’s College, 21 St Benedict's Close, Mango Hill QLD 4509 Phone: 3385 8888 or Email: [email protected]

    Scholarship Applications for 2021

    OPEN: Monday, 2 November 2020

    CLOSE: Sunday, 9 May 2021

    Preferences will be given to those applicants who would benefit from a Holistic Catholic education in the Benedictine spirituality but would be unable to attend without some financial assistance. Please note this form does not constitute an Enrolment Application. For new students visit www.stbenedictscollege.qld.edu.au to submit your Enrolment Application before submitting this form.

    Academic Scholarship applicants will be required to sit the ACER Scholarship Exam. Details can be found under Enrolments at www.stbenedictscollege.qld.edu.au

    ACER Scholarship Exam Required

    REGISTER BY: Sunday, 9 May 2021 EXAM DATE: Saturday, 22 May 2021, 9:00am to 11:00am

    APPLICANT DETAILS

    STUDENT

    PARENT/LEGAL GUARDIAN 1

    Full Name: Surname Given Names

    Relationship to student: i.e. Parent, Stepparent, Legal Guardian

    Address: Street Address

    Suburb State Post code Home Ph: Work Ph:

    Mobile: Email:

    PARENT/LEGAL GUARDIAN 2

    Full Name: Surname Given Names

    Relationship to student: i.e. Parent, Stepparent, Legal Guardian

    Address: Street Address

    Suburb State Post code

    Home Ph: Work Ph:

    Mobile: Email:

    Year Level: Intake Year:

    Full Name: Surname Given Names

    Address: Street Address

    Suburb State Post code

    mailto:[email protected]://www.trinitycollege.qld.edu.au/http://www.stbenedictscollege.qld.edu.au/

  • Page 2 St Benedict’s College, 21 St Benedict's Close, Mango Hill QLD 4509 Phone: 3385 8888 or Email: [email protected]

    APPLICANT ACHIEVEMENTS ACADEMIC ACHIEVEMENTS Please provide a copy of student’s most recent academic reports.

    Please also attach these documents as part of your emailed application.

    Summary of Academic Reports

    Semester 1 Semester 2

    Subject Achievement Subject Achievement

    Please provide copies of any certificates awarded during the past 2 years. Please provide specific details/evidence of achievements during the past 2 years

    (attach a separate sheet if more space is required).

    Please also attach these documents as part of your emailed application.

    Date Achievement Achievement Details Venue

    Level of Achievement

    mailto:[email protected]

  • Page 3 St Benedict’s College, 21 St Benedict's Close, Mango Hill QLD 4509 Phone: 3385 8888 or Email: [email protected]

    APPLICANT QUESTIONNAIRE

    OTHER INTERESTS AND ACTIVITIES

    Give details of any co-curricular, community and/or charity activities in which the applicant has been involved in during the past 2 years.

    Please also attach any supporting documentation (i.e. Certificates ofappreciation/participation, awards) as part of your emailed application.

    ___________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    What are your personal strengths and limitations?

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    What are your future goals and ambitions?

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    Why do you want to study at St Benedict’s College?

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    mailto:[email protected]

  • Page 4 St Benedict’s College, 21 St Benedict's Close, Mango Hill QLD 4509 Phone: 3385 8888 or Email: [email protected]

    REFEREE A personal referee must be someone outside of your immediate or extended family. PERSONAL REFEREE Full Name:

    Surname Given Names

    Relationship to student:

    Email: Work Ph:

    Mobile:

    Please provide a statement (signed and dated) describing the applicant’s character, personal qualities and achievement(s).

    Applicant, please attach this document as part of your emailed application.

    APPLICANT AND PARENTS DOCUMENT CHECKLIST When emailing this Academic Scholarship Application please check that you have attached all of the following documents in PDF format:

    Scholarship Application Academic Achievements (Semester 1, Semester 2) Other Certificates/Awards (past 2 years) Referee Statement

    DECLARATION I/We confirm that the information and documentation given in this form is true, complete and accurate to the best of my knowledge. I/We understand and accept that St Benedict’s College reserves the right at any stage to withdraw a place, which has been offered on the basis of incomplete or incorrect information. I/We understand and accept the conditions of the scholarship as set out in the Scholarship Expectations form included in this information pack. Signature:

    Date:

    Of Applicant

    Signature:

    Date:

    Of Parent 1

    Signature:

    Date:

    Of Parent 2

    mailto:[email protected]

    Suburb: State: Post code: ie Parent Stepparent Legal Guardian: Suburb_2: State_2: Post code_2: Suburb_3: State_3: Post code_3: SubjectRow1: AchievementRow1: SubjectRow1_2: AchievementRow1_2: SubjectRow2: AchievementRow2: SubjectRow2_2: AchievementRow2_2: SubjectRow3: AchievementRow3: SubjectRow3_2: AchievementRow3_2: SubjectRow4: AchievementRow4: SubjectRow4_2: AchievementRow4_2: SubjectRow5: AchievementRow5: SubjectRow5_2: AchievementRow5_2: SubjectRow6: AchievementRow6: SubjectRow6_2: AchievementRow6_2: SubjectRow7: AchievementRow7: SubjectRow7_2: AchievementRow7_2: SubjectRow8: AchievementRow8: SubjectRow8_2: AchievementRow8_2: Date AchievementRow1: Achievement DetailsRow1: VenueRow1: Level of AchievementRow1: Date AchievementRow2: Achievement DetailsRow2: VenueRow2: Level of AchievementRow2: Date AchievementRow3: Achievement DetailsRow3: VenueRow3: Level of AchievementRow3: Date AchievementRow4: Achievement DetailsRow4: VenueRow4: Level of AchievementRow4: Date AchievementRow5: Achievement DetailsRow5: VenueRow5: Level of AchievementRow5: Date AchievementRow6: Achievement DetailsRow6: VenueRow6: Level of AchievementRow6: Date AchievementRow7: Achievement DetailsRow7: VenueRow7: Level of AchievementRow7: Date AchievementRow8: Achievement DetailsRow8: VenueRow8: Level of AchievementRow8: Relationship to student: Intake Year: Year level: Street Address2: Surname2: Given Names2: ie Parent Stepparent Legal Guardian_2: Surname3: Given Names3: Street Address3: Street Address: Surname: Given Names: Surname4: Given Names4: Home Ph2: Work Ph2: Mobile2: Email2: Email3: Home Ph: Work Ph: Mobile: Email: Check Box1: OffCheck Box6: OffCheck Box7: OffCheck Box8: OffCheck Box9: OffCheck Box10: OffCheck Box11: OffCheck Box12: OffCheck Box13: OffCheck Box14: Offappreciationparticipation awards as part of your emailed application 1: What are your personal strengths and limitations 1: Why do you want to study at St Benedicts College 1: What are your future goals and ambitions 1:


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