Gwen Saunders Memorial Bursary Application Personal details Given name * Family name * Home address * Students from Metropolitan areas (e.g. Melbourne, Geelong) are not eligible. Your home address must be located in a rural or regional area. Please use your original home address, not your semester address. State * -- Please Select -- VIC ACT NSW NT QLD SA TAS WA Postcode * Correspondence address (if different to your home address. This may be your semester address) Email address * (this must be your La Trobe email address) Mobile phone * Date of birth * Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJunJulAugSepOctNovDec Year 19701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019 Gender * -- Please Select --FemaleMaleIntersexOtherI'd rather not say Are you of Aboriginal or Torres Strait Islander descent? Yes No Has your education been adversely affected by your financial circumstances? Yes No Do you currently receive Centrelink Benefits? (please specify which payment) Personal statement Please provide a brief statement explaining why you wish to study Podiatry and what your personal goals are for the future * (max 600 words) Supporting documentsPlease attach any documentation to support your claimsSupporting document #1 Proof of financial circumstances is required. For information on the types of supporting documents accepted please visit https://www.latrobe.edu.au/scholarships/information-for-scholarship-applicants/supporting-documentation (pdf, jpg or png file type only. Max 8MB file size) Supporting document #2 Confirmation of Aboriginality, if applicable, is recommended (pdf, jpg or png file type only. Max 8MB file size) Upload a supporting statement from a respected member of your local community who is aware of your circumstances. This person could be someone such as a school teacher, doctor, solicitor, police officer etc. This person cannot be a family member and should have known you for a minimum of three years. * (pdf, jpg or png file type only. Max 8MB file size) Confidentiality All information provided will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application in order to handle your enquiry. In accordance with privacy laws, personal information about you contained in your enquiry will not be used for any other purpose. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the Scholarships team via email at Scholarships@latrobe.edu.au The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy. Validation