Scholarship Grant Application

First Name

Surname

Date of Birth (dd/mm/yyyy)

Nationality

Address

Suburb/Town

State/Province

Postcode

Country

Email

Phone

Mobile Phone

Where did you hear about the Gottstein Trust Scholarship Award?

Current enrolled or accepted TAFE, Undergraduate or Postgraduate Course

Although applications will be accepted from those considering studying forestry and wood science related courses, the Scholarship will only be granted to those who are accepted into formal forestry or wood science related courses.

Course Title

University

Department

Status of Enrolment

Progress to Level

Outline what study or course milestones you have achieved.

Do you hold any other scholarship, stipend, or support?

Exclude supplementary work income.

Other Income

Detail any part-time or casual positions and provide approximate gross annual earnings.

Educational, professional and technical training

Provide details of secondary or tertiary education and other professional and/ or technical training including dates

Employment History

Provide details of current and previous employment
Include the name of employer, dates employed, positions and duties.

Current Employer

May we communicate with your present employer about this application?

Current Institution Contact

If you are already studying may we communicate with the institution you in which you are enrolled about this application?

Amount Requested

The scholarship provides annual funds of up to $5,000 to each successful applicant for either one, two up to a maximum of three years. Payments are granted subject to ongoing demonstration of appropriate progression of study and achievements.