Student Services Centre - Scholarships

Scholarships Telephone: +61 8 6304 3636 Fax: +61 8 6304 2088 Email: scholarships@ecu.edu.au

Edith Cowan University

City Of Joondalup Youth Award - Tertiary EducationApplication Form

The City Of Joondalup Youth Award - Tertiary Education, is open to 2nd year students aged 18 – 25 and living within the City of Joondalup boundaries, studying a relevant course to future employment within local government. The Award intends to help lessen the student debt by providing funds to assist with course fees as well as offer practical work experience. The Award includes the opportunity to begin a career in a local government department, by completing a paid work placement with the City of Joondalup for up to twelve (12) weeks.

Applicant DetailsStudent No.

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First Name:

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Surname: Click here to enter text.

Contact PH:

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Email: Click here to enter text.

Age: Click here to enter text.

Please ensure that your correspondence address details are updated on SIMO

1. 1. Are you are an Australian Citizen or Permanent Resident? ☐ Yes☐ No

3. 2. Do you reside in the City of Joondalup?

Which Suburb? Click here to enter text.Postcode? Click here to enter text.

☐ Yes☐ No - If you do not live in the

City of Joondalup boundaries, you are not eligible for this scholarship

3. The recipient of this award would be required to complete a paid work placement of up to 12 weeks at a mutually beneficial time with the City of Joondalup. Are you willing and able to commit to this requirement?

☐ Yes

☐ No

4. Will you be enrolled in your second year of full-time study(60 credit points) at the commencement of semester 1, 2016?

☐ Yes

☐ No5.Please provide your course code and title Course Code: Click here to enter

text.Course Title:Click here to enter text.

6. Please attach a descriptive statement (approx. 1000 words) outlining:-

What your career aspirations are What your perception on the role of local government is What you would like to achieve out of your placement with the City of Joondalup Which City of Joondalup Business Unit you feel best fits with your course and why

Student Services Centre - Scholarships

Scholarships Telephone: +61 8 6304 3636 Fax: +61 8 6304 2088 Email: scholarships@ecu.edu.au

Edith Cowan University

7. Supporting Documentation

To complete your application you will need to provide the following supporting documentation.

Note: Applications submitted without supporting documentation will not be considered.

Supporting DocumentationTick to confirm

attachedEvidence of Australian Citizenship or Permanent Residency (e.g. birth certificate, passport, residency papers) ☐

A written statement (as outlined at item 6.) ☐

Letter of support from a lecturer, tutor, or course coordinator ☐

Copy of your resume ☐

Proof of address (e.g. driving license, recently dated utility bill or bank statement) ☐

Proof of date of birth (driving license, birth certificate, birth extract, passport) ☐

Applicant DeclarationI declare that the information I have supplied on this form and in associated attachments is complete, true and correct, to the best of my knowledge and the written statement is all my own work. I understand that if any information is found to be false or incorrect, my application may be cancelled.

Click here to enter text. Click here to enter a date.Signature of Applicant Date

Completed application forms & associated documentation should be forwarded to:

Scholarships@ecu.edu.au

or

Scholarships OfficeEdith Cowan University

270 Joondalup DriveJoondalup WA 6027