Scholarship Applied For *

Sylvia Brose All Rounder - Means-Tested Glenaeon Scholarship (Year 7)Aaron MacMillan Music Scholarship (Year 7)Marion Mahony Griffin (Year 11)

Section 1 - Candidate Details

Student First Name

Student Last Name

Date of Birth

Gender

Residential Address

Student Lives with

Both Parents TogetherMother FatherShared Arrangement

Court Orders in Place *

YesNo

Nationality

Residency Status

Visa Sub-Class (if applicable)

Languages Spoken at Home

Current School

Current Grade

Scholarship Application Grade and Year of Entry (e.g Year 7 2027) *

Section 2 - Parent/Carer and Family Details

Parent 1

Parent 1 First Name

Parent 1 Last name

Relationship to Student

Parent 1 Residential Address

Street address

City

State

Postcode

Mobile Phone Number

Email Address *

Parent 2

Parent 2 First name

Parent 2 Last name

Relationship to Student

Parent 2 Residential Address

Street address

City

State

Postcode

Mobile Phone Number

Email Address

Section 3 - Learning Needs - Background Information

In this space, please provide details of any known medical conditions or mental health or behavioural challenges experienced by your child:

In this space, please provide details of treating mental health, medical, and/or allied health professionals being engaged at present:

If your child has any support provided by their current school, please list these here (e.g. ILP, in-class or pull-out support):

Section 4 - Required Documents

All required documents for scholarship application, as outlined on the School's website, are to be emailed to enrolments@glenaeon.nsw.edu.au. The Scholarship Application will only proceed once these documents are submitted.

I confirm that I have emailed all relevant Scholarship documents to enrolments@glenaeon.nsw.edu.au *

Section 5 - Scholarship Application Payment

Acknowledgement of Payment

I confirm that the Scholarship Application fee of $150 has been paid via bank transfer to Glenaeon Rudolf Steiner School *

Glenaeon Rudolf Steiner School

Bank: NAB

Account: 189436026

BSB: 082 057

Please write your child's full name as the reference description

Section 6 - Consent

I confirm that the information I have provided is true, correct, and accurate *

Signature *

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Date