APPLICATION FORM - SECTION FOUNDATION ENCOURAGEMENT AWARDS

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NEED AISTANCE APPLYING FOR THIS SCHOLARSHIP? Visit the Hunter TAFE Foundation YouTube channel and search for this scholarshi. htt://ow.ly/qd7i305gfa7 Encouraging & Suorting TAFE NSW Students in the Hunter and Central Coast Region APPLICATION FORM - SECTION 1 2017 FOUNDATION ENCOURAGEMENT AWARDS Closing date: 5m Friday 6 October 2017 Award Value $500 AWARD CATEGORIES AND ELIGIBILITY CRITERIA (PLEASE SELECT ONE) Encouragement Award (over 19 years) Alicant to be a current student enrolled at TAFE NSW in the Hunter or Central Coast Region, who is over the age of 19 years as of 30 June 2017 Indigenous Award - Alicant to be a current student enrolled at TAFE NSW in the Hunter or Central Coast Region, who recognises as an Aboriginal or Torres Strait Islander Kaiyu Encouragement Award - Alicant to be a current student enrolled at TAFE NSW in the Hunter or Central Coast Region, who is living with a mental health disorder or studying in the Community Services sector Youth Encouragement Award (under 19 years) - Alicant to be a current student enrolled at TAFE NSW, who is under the age of 19 years as of 30 June 2017 SELECTION CRITERIA Alicant demonstrates financial or ersonal hardshi and is in need of financial assistance to comlete studies or requires encouragement to ursue further studies in TAFE Alicant must be making satisfactory rogress in their studies Alicant demonstrates commitment to their area of study Alicant is a deserving student who would be an ideal ambassador for TAFE NSW and the Hunter TAFE Foundation Alicant must not have received another Scholarshi or Award within the revious twelve (12) months If alicant is of Aboriginal or Torres Strait Islander decent, alicant must demonstrate a desire to be involved in Indigenous community activies and committed to the community. IMPORTANT INFORMATION The Alicant must comlete the Foundation Encouragement Award Alication Form Section 1 and submit to the Hunter TAFE Foundation Relationshi Coordinator by the required close off date. The Foundation Relationshi Coordinator will then contact the Alicant s nominated referee and request that they comlete the Referee Statement as art of the Foundation Encouragement Award Alication Form Section 2. It is the Alicant s resonsibility to notify the Referee that they have submitted an Alication for the Scholarshi to allow sufficient time for the Referee to reare a resonse. If you require assistance in comleting this form, lease contact the Foundation Relationshi Coordinator on 4923 7410. Incomlete alications will not be acceted. Please ensure that you rovide a resonse to all sections of this alication form and rovide all the necessary documentation requested to suort your alication. Please kee a coy of your alication and attachments. Foundation Encouragement Awards will be resented at the Hunter TAFE Foundation Awards Presentation Ceremony to be held on Wednesday 22 November 2017. Refer to Award Terms and Conditions for further information. SUBMIT YOUR APPLICATION BY 5PM FRIDAY 6 OCTOBER TO: Postal address: Email: Foundation Relationshi Coordinator Hunter TAFE Foundation Block B. BG14. Newcastle Camus Locked Bag 45, HRMC 2310 hunter.foundation@tafe.nsw.edu.au HTF14005

PART A - APPLICANT DETAILS AND DECLARATION (USE BLOCK LETTERS) Family Name: First /Other Names: Date of Birth (DD/MM/YY) Sex: Male Female Postal Address: Suburb: State: Postcode: Home Phone: Mobile: Email: Student Number: Course Name: Camus: Have you received an award or scholarshi from the Hunter TAFE Foundation in the ast 12 months? If yes, lease disclose the following: Name of the award or scholarshi received Value Date Received Have you reviously received a Study Grant from the Hunter TAFE Foundation? Course Comletion Date: Yes Yes No No If yes, lease disclose the following: Value Date Received Please refer to Item 4.1.3 Terms and Conditions before roceeding as you may not be eligible to aly for this award. If you have answered Yes to either of the above questions lease refer to the Terms and Conditions of this Scholarshi before roceeding as you may not be eligible to aly for this award. If in doubt lease contact the Foundation Relationshi Coordinator. PART B - APPLICANT DECLARATION I declare that the information sulied on this form and attached documents are true and correct. I authorise the Foundation Relationshi Coordinator to access my student records to verify my enrolment status. I authorise the release of this alication and suorting documents to the Panel convened to review all Alications for this Award. I accet the Panel s decision cannot be aealed and no corresondence concerning the decision will be entered into. In signing this declaration I acknowledge I have received, understand and accet the Terms and Conditions for the Encouragement Awards awarded by the Hunter TAFE Foundation; a coy of which was attached to the Encouragement Awards Alication Form. Alicant Name (Printed) Alicant Signature Date Privacy The information rovided by you on this Alication Form and attachments will be used by the Hunter TAFE Foundation for the urose of administration and determining the award of the Encouragement Awards. Provision of this information is essential to determine your eligibility for consideration of an Award. Information will be stored securely. If you do not rovide all information, then your alication may not be eligible for entry.

PART C APPLICANT STATEMENT (USE BLOCK LETTERS) Please reare a resonse for each of the questions listed below (250-400 words). If insufficient sace attach your resonse to the alication. 1. Why have you chosen this secific course to study? (As an examle your resonse may include - recently retrenched or due to medical reasons needed to undertake training in a different vocational area, have always wanted to study in this articular area, due to ersonal exeriences have chosen this area of study. Please note that these are just examles - lease exlain your own story.) 2. What are your career asirations? (As an examle your resonse may include - what do you intend to do at the comletion of your course, do you have lans for further study, where do you see yourself in 2, 5, 10 years time, what is your lifelong goal?) Page 3 of 5

PART C APPLICANT STATEMENT Continued (USE BLOCK LETTERS) 3. In your own words describe your need for financial assistance or encouragement to comlete your studies or to continue with further studies. (As an examle your resonse may include - What financial or ersonal barriers you are currently faced with, What is inhibiting your ability to comlete or roceed to further study?) 4. If you were to be rovided an Encouragement Award, how would you use the monies to benefit your education? (As an examle your resonse may include - Itemised account of what text books you would urchase and the value of each text book, What comuter rogram you intend to urchase and the cost, What course you want to study and the cost of the course. You may want to ay for a tutor or offset child care fees so you can devote designated time to study. Please note that these are examles only - lease detail how YOU would use the monies.) Page 4 of 5

PART D REFEREE (TEACHER, COUNSELLOR, TEACHER CONSULTANT) The Foundation Relationshi Coordinator will contact the nominated Referee and request that the Referee comlete the Referee Statement - Section 2 of the Foundation Encouragement Award Alication Form. Please note that Close Off Date for the Referee Statement is not required until 20 October 2017. The Foundation Relationshi Coordinator will also rovide the referee with all necessary documentation to comlete this ortion of the Alication Form. Name: Position: Camus: Email: Phone: Have you advised your referee that you are submitting an Yes No alication for the Hunter TAFE Foundation Encouragement Awards and that they will be required to comlete a Referee Statement? PART E ADDITIONAL INFORMATION To verify your need for financial assistance you may want to attach a coy of your centrelink benefit statement (if alicable), together with coies of your most recent bank statements and ay slis (if relevant). In suort of your alication you may also rovide information on academic awards and other achievements such as work exerience, references, extra-curricular activities, community involvement, etc. Please be reminded that the Selection Panel can only judge your alication on the information that you rovide. PART F HOW DID YOU HEAR ABOUT THIS SCHOLARSHIP? Other Please Provide Details: S S S S Teacher Informed Me S Received an email from Hunter TAFE Alumni Association S Received an email from Hunter TAFE Foundation S Searching Hunter TAFE Website S Social Media Post Please indicate which social media channel: CONGRATULATIONS You have now comleted your Hunter TAFE Foundation Encouragement Awards Alication Form. Please remember that comleted alications need to be submitted by 5.00m Friday 6 October 2017. Please forward this Alication Form to the Foundation Relationshi Coordinator who will register your alication. Page 5 of 5

Please Retain Coy of Terms and Conditions For Your Reference Do Not Return With Alication Form TERMS AND CONDITIONS FOR ENCOURAGEMENT AWARDS AWARDED BY THE HUNTER TAFE FOUNDATION 1.0 ESTABLISHMENT AND PURPOSE 1.1 Encouragement Awards were established by the Hunter TAFE Foundation as a means of roviding suort and encouragement via the rovision of financial assistance to TAFE NSW students who are in a situation of ersonal or financial hardshi. 1.2 Adult Encouragement Awards and Youth Encouragement Awards are funded and managed by the Hunter TAFE Foundation. 1.3 Indigenous Awards are funded by Hunter Consultative Committee and managed by the Hunter TAFE Foundation. 1.4 Kaiyu Encouragement awards are funded by Kaiyu Enterrises and managed by the Hunter TAFE Foundation. 2.0 DEFINITIONS 2.1 Alicant means a Student who alies for an Encouragement Award by comleting and submitting an Encouragement Award Alication Form Section 1 in accordance with the Alication Process. 2.2 Alication Process means the rocess set out in clause 3.0 of these Terms and Conditions as amended or varied by the Hunter TAFE Foundation from time to time in its sole discretion. 2.3 Eligible Student means an Alicant who meets the criteria for eligibility for the award of an Encouragement Award as set out in clause 4.0 of the Terms and Conditions. 2.4 Student means a currently enrolled student of TAFE NSW. 2.5 Encouragement Award means a financial award to the value of $500 awarded by the Hunter TAFE Foundation in accordance with these Terms and Conditions. 2.6 Encouragement Award Alication means an alication for an Encouragement Award made by an Alicant in accordance with these Terms and Conditions. 2.7 Encouragement Award Alication Form Section 1 means the form which must be comleted by an Alicant and which is available from htt://www.hunter.tafensw.edu.au/students/ages/scholarshis.asx 2.8 Encouragement Award Alication Form Referee Statement Section 2 means the form which must be comleted by the nominated Referee and which is forwarded to the Referee by the Hunter TAFE Foundation Relationshi Coordinator uon receit of Encouragement Award Alication Form Section 1 from the alicant. 2.9 Encouragement Award Offer and Accetance Form means the form which must be comleted by the Successful Alicant and is to be issued by the Hunter TAFE Foundation Relationshi Coordinator. 2.10 Encouragement Award Reciient means Successful Alicant who accets the Encouragement Award by comleting and returning an Encouragement Award Offer and Accetance Form in accordance with the rocess set out in clause 6.0 of these Terms and Conditions. Hunter TAFE Foundation Limited Maitland Road Tighes Hill NSW 2297 Locked Bag 45 HRMC NSW 2310 P: 61 2 4923 7410 hunter.foundation@tafe.nsw.edu.au Encouragement Awards ACN 092 210 332 ABN 55 092 210 332 P a g e 1 3

Please Retain Coy of Terms and Conditions For Your Reference Do Not Return With Alication Form 2.11 Encouragement Awards Panel means a anel assembled by TAFE NSW and Hunter TAFE Foundation to assess Alicants on their Alication Form. 2.12 Successful Alicant means an Eligible Student who is offered an Encouragement Award by the Hunter TAFE Foundation in accordance with the rocess set out in clause 5.0 of these Terms and Conditions. 2.13 Hunter TAFE Foundation Awards Ceremony means a designated ceremony where the allocation of Awards takes lace. 3.0 APPLICATION PROCE 3.1 An Alicant must comlete an Encouragement Award Alication Form Section 1 and submit that Encouragement Award Alication Form Section 1 by the due date to the Hunter TAFE Foundation via the Hunter TAFE Foundation Relationshi Coordinator, either by ost, email or in erson as detailed on the Encouragement Award Alication Form. 3.2 The Alicant must acknowledge and accet the Encouragement Award Terms and Conditions by signing and dating the declaration on the Encouragement Award Alication Form rior to submitting that Encouragement Award Alication Form in the manner set out in clause 3.1. 3.3 Uon receit of an Encouragement Award Alication Form Section 1, the Hunter TAFE Foundation Relationshi Coordinator will comlete an initial review of the Alication Form to ensure that all required information has been rovided by the Alicant. 3.4 The nominated Referee must comlete an Encouragement Award Alication Form Referee Statement Section 2 which will be forwarded to them by the Hunter TAFE Foundation Relationshi Coordinator uon receit of Encouragement Award Alication Form Section 1 by the alicant. The Encouragement Award Alication Form Section 2 must be returned by the due date to the Hunter TAFE Foundation via the Hunter TAFE Foundation Relationshi Coordinator either by email or in erson as detailed on the Encouragement Award Alication Form Section 2. 3.5 The Referee must acknowledge and accet the Encouragement Award Terms and Conditions by signing and dating the declaration on the Encouragement Award Alication Form rior to submitting that Encouragement Award Alication Form in the manner set out in clause 3.1. 3.6 Uon receit of an Encouragement Award Alication Form Referee Statement Section 2, the Hunter TAFE Foundation Relationshi Coordinator will comlete an initial review of the Alication Form to ensure that all required information has been rovided by the Referee. 3.7 Provided all asects of an Encouragement Award Alication both Section 1 and Section 2 are correctly comleted by the Alicant and the Referee the Encouragement Award Alication will be referred to the Encouragement Awards Panel for its assessment and determination. 3.8 The Encouragement Awards Panel may, at its sole discretion, confer with the Hunter TAFE Foundation and/or TAFE NSW to confirm the suitability of an Alicant. 3.9 The Encouragement Awards Panel has the right to reallocate alicants into categories other than those originally alied for by the alicant roviding that the alicant meets all the required criteria for the resective category. Hunter TAFE Foundation Limited Maitland Road Tighes Hill NSW 2297 Locked Bag 45 HRMC NSW 2310 P: 61 2 4923 7410 hunter.foundation@tafe.nsw.edu.au Encouragement Awards ACN 092 210 332 ABN 55 092 210 332 P a g e 2 3

Please Retain Coy of Terms and Conditions For Your Reference Do Not Return With Alication Form 4.0 STUDENT ELIGIBILITY FOR AWARD OF ENCOURAGEMENT AWARD 4.1 An Encouragement Award may be awarded to an Eligible Student who has comleted and lodged an Encouragement Award Alication Form and who, as determined by the Encouragement Awards Panel (in its sole discretion), satisfies all of the following criteria: 4.1.1 Is currently enrolled in a course delivered by TAFE NSW at the time of alying for and receiving the Encouragement Award 4.1.2 Is able to demonstrate financial and/or ersonal hardshi as evidenced in the Encouragement Award Alication Form as a barrier to their study and successful comletion of their course; 4.1.3 Is not in receit of another award or scholarshi resented by the Hunter TAFE Foundation within the twelve (12) month eriod rior the submission of their Encouragement Award Alication; 4.1.4 Has sulied all required evidence and information as requested in the Encouragement Award Alication Form including (but not limited to) Alicant details and declaration and Alicant Statement. 4.2 Incomlete Encouragement Award Alication Forms will not be considered by the Encouragement Awards Panel. 4.3 The Hunter TAFE Foundation Relationshi Coordinator is under no obligation to attemt to contact any Alicant who incorrectly comletes and/or submits an Alication Form and will, at his or her discretion, contact an Alicant on not more than two (2) occasions in an effort to obtain information which is missing, or has not been comleted correctly, in an Encouragement Award Alication Form. Should all required information not be rovided, the Encouragement Award Alication will be withdrawn by the Hunter TAFE Foundation Relationshi Coordinator and notice sent to the Alicant. 5.0 OFFER OF ENCOURAGEMENT AWARD 5.1 Following assessment by the Encouragement Awards Panel of an Encouragement Award Alication, the Encouragement Awards Panel will determine the outcome of the Encouragement Award (in its sole discretion). 5.2 All Successful Alicants will be notified in writing of the outcome of their Encouragement Award Alication. 5.3 A Successful Alicant will be sent an Encouragement Award Offer and Accetance Form. 5.4 If unsuccessful, an Alicant will be notified in writing of that outcome. 6.0 ACCEPTANCE OF ENCOURAGEMENT AWARD 6.1 A Successful Alicant must comlete and return the Encouragement Award Offer and Accetance Form as soon as ossible and as a re-condition to resentation of the Encouragement Award. 6.2 For the avoidance of doubt, a Successful Alicant acknowledges and agrees that the award of an Encouragement Award is conditional uon a Successful Alicant signing and returning to the Hunter TAFE Foundation the Encouragement Award Offer and Accetance Form. Hunter TAFE Foundation Limited Maitland Road Tighes Hill NSW 2297 Locked Bag 45 HRMC NSW 2310 P: 61 2 4923 7410 hunter.foundation@tafe.nsw.edu.au Encouragement Awards ACN 092 210 332 ABN 55 092 210 332 P a g e 3 3

Please Retain Coy of Terms and Conditions For Your Reference Do Not Return With Alication Form 7.0 AWARD AND PAYMENT OF THE ENCOURAGEMENT AWARD 7.1 Following the Successful Alicant s comletion and return of the Encouragement Award Offer and Accetance Form, the Encouragement Award will be resented to the Successful Alicant at the Hunter TAFE Foundation Awards Ceremony. 7.2 The Hunter TAFE Foundation is under no obligation to ay or make available any art of the Encouragement Award until it has received a signed and comleted Encouragement Award Offer and Accetance Form. 8.0 CONDITIONS OF ENCOURAGEMENT AWARD 8.1 A Encouragement Award Reciient acknowledges and agrees that the following conditions aly to the award of a Encouragement Award: 8.1.1 On request by the Hunter TAFE Foundation an Encouragement Award Reciient must rovide the Hunter TAFE Foundation with an udate on how the Encouragement Award assisted them in their education at TAFE NSW. 8.1.2 All Encouragement Award Reciients must agree to be available for romotional and marketing hotograhy in line with TAFE NSW s Authority to Publish 8.1.3 Any decision of the Encouragement Awards Panel regarding an Encouragement Award Alication is final and no corresondence will be entered into. 8.1.4 Encouragement Award Reciients are exected to be an ambassador for the Hunter TAFE Foundation and uhold the values of TAFE NSW and to behave at all times in accordance with the TAFE NSW Student Code of Conduct. 8.1.5 The Hunter TAFE Foundation reserve the right to request reayment of monies awarded as an Encouragement Award should an Encouragement Award Reciient fail to meet any of the requirements as outlined in these Terms and Conditions (as determined by the Hunter TAFE Foundation). 9.0 VARIATION 9.1 The Hunter TAFE Foundation may vary these Terms and Conditions or any form or rocess referred to herein at any time and without notice. Hunter TAFE Foundation Limited Maitland Road Tighes Hill NSW 2297 Locked Bag 45 HRMC NSW 2310 P: 61 2 4923 7410 hunter.foundation@tafe.nsw.edu.au Encouragement Awards ACN 092 210 332 ABN 55 092 210 332 P a g e 4 3