STUDENT NAME: YEAR LEVEL IN 2018:

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SCHOLARSHIP 2018 APPLICATION PACKAGE Year 7 STUDENT NAME: YEAR LEVEL IN 2018: Scholarship Application 1

Version: 27/02/2017 9:26:00 AM

Mountain Creek SHS P&C Association is offering 10 scholarships to students attending Mountain Creek SHS as year 7 students in 2018. The funding of the 10 scholarships is to reward outstanding young students who have succeeded academically, are good role models to their peers, and also are strong in one or more areas of sport, art, dance, drama, music, public speaking, debating and information technology. Students applying for the scholarship must: 1. Complete the attached application form. 2. Return the completed application form to: The Head of Junior Secondary Mountain Creek State High School P.O. Box 827 Mooloolaba Qld 4557 3. Closing Date: Friday 14 July 2017. 4. Winners of the scholarships will be announced in Term 4. Recipients of the scholarships will be notified in writing as will unsuccessful applicants. Mrs Cheryl McMahon (Executive Principal), in conjunction with the P&C Association, will present the winners with their scholarships during a family welcome afternoon in Term 4. 5. Recipients of the scholarships will be advertised in MCSHS publications as well as the local community. 6. Successful applicants of the scholarship will be required to sign an acceptance form acknowledging the conditions of the offer. 7. Scholarship winners will not incur costs (included in the following 4 areas) associated with completing year 7 in 2018 at Mountain Creek SHS. i) The parent contribution to the Student Resource Scheme ($375): Text book hire for the year Classroom resources other than texts Year 7 adventure days Excursions, including bus costs and entry fees Student Planner ii) IT Levy - $80 Scholarship Application 1

ii) The school uniform (approx $440): (including a shoe voucher) BOYS UNIFORM GIRLS UNIFORM 1 Formal Shirt 1 Formal Blouse 2 Polo Shirts (Short Sleeve) 2 Polo Shirts (Short Sleeve) 2 pair Shorts 2 Skirts 1 Belt 1 Pullover or Jacket 1 Pullover or Jacket 1 Tie 1 Tie 2 pair White Socks 2 pairs White Socks 1 pair Sports Shorts 1 pair Sports Shorts Black, polishable leather shoes Black, polishable leather shoes **Please note that any specialist sports uniforms will need to be purchased separately** iii) Stationery Pack (approx $120) 2 Scholarship Application

CRITERIA Academic Achievement Conduct Leadership Programs of Excellence Confirmation by your parents and Principals EXPLANATION You must include in your application a copy of your most recent report, signed by the Principal of your school. Your conduct in the classroom and playground must be excellent at all times. If your most recent report does not indicate your conduct, you need a letter from your classroom teacher indicating your level of conduct, countersigned by the Principal. You must demonstrate that you are a positive role model to your peers. Please outline your leadership role at your school eg. School captain, captain of a sports team, leadership positions within your classroom, participation in school and community activities (fund raising, red cross door knock appeal etc). Mountain Creek State High School has several programs of excellence: Academic Sport Public Speaking and Debating Information Technology Creative Industries (Dance, Art, Drama & Music) STEM Science, Technology, Engineering and Maths As academic achievement is addressed in criteria 1, you do not have to address it again. You are to outline the skills you have which contribute to the school s areas of excellence. You may not have high levels of skills in all of the areas. The application must be approved (counter-signed) by your parents/guardian and the Principal at your school. DOCUMENTARY EVIDENCE All applications must include documentary evidence. It is the responsibility of the applicant to ensure that appropriate documentation is provided. Documents, resumes and other attachments will NOT be returned once the successful applicants are announced. PRIVACY Mountain Creek State High School is bound by the provisions of relevant State and Federal Privacy Laws in relation to the collection, use and disclosure of personal information about students. All documents created by MCSHS in the process of managing the Scholarship program Scholarship Application 3

are subject to Freedom of Information legislation unless exempt in accordance with provisions of the Freedom of Information Act 1982. Please complete this application and return to: The Head of Junior Secondary Mountain Creek State High School P.O. Box 827 Mooloolaba Qld 4557 Applications must be received by Friday 14 July 2017 Please only attach COPIES of certificates and reports etc to this application. The application and attachments will not be returned to the student once the selection process is finalised in Term 4, 2017. Student (applicant) Name: Current School: Current Year Level: Date of Birth: Sex: (please circle) Male / Female Parent/Guardian Name/s: Address: Suburb: Postcode: Phone Number: (Home) (Mobile): E-mail address (Parent/Guardian): Brothers or Sisters currently attending Mountain Creek State High School: Name: Form Class: Name: Form Class: Name: Form Class: 4 Scholarship Application

1. ACADEMIC ACHIEVEMENT Please attach a copy of your most recent report. 2. CONDUCT Please attach a copy of your most recent report, which outlines your conduct or a letter from your classroom teacher indicating your level of conduct. 3. LEADERSHIP Outline leadership roles or positions you have held at your school eg. captain of the school, sport team captain, class captain, participation in school activities such as fund-raising. Scholarship Application 5

4. PROGRAMS OF EXCELLENCE Please outline the skills you have which would contribute to the following Programs of Excellence which are implemented at Mountain Creek State High School. PROGRAM YOUR SKILLS / ATTRIBUTES Sport Creative Industries (Visual Art, Dance, Music, Drama) Public Speaking and Debating Information Technology or STEM (Science, Technology, Engineering and Maths) 6 Scholarship Application

5. ADDITIONAL INFORMATION If you wish the P & C Association to consider any additional information, please outline this information below. 6. CONFIRMATION In submitting this form I declare that the information supplied on this form and in the accompanying documents and statements is complete and correct to the best of my knowledge. If any of the information is found to be false or misleading, I accept that Mountain Creek SHS may cancel any offer that might be awarded to me on the basis of this application. Applicant Name: Signature: Date: Parent / Guardian Name: Signature: Date: Primary School Principal s Name: Signature: Date: Documentary Evidence All applications must include documentary evidence. It is the responsibility of the applicant to ensure that appropriate documentation is provided. Documents, resumes and other attachments will NOT be returned once the successful applicants are announced. Please DO NOT PROVIDE ORIGINAL COPIES OF ANY DOCUMENTS Scholarship Application 7

Stationery List: General Items: A homework diary will be provided to all students at the beginning of the year. Students are required to bring the diary to school every day. Pens - Blue, Red (at least 2 of each) Lead Pencils (at least 2 x HB, 2 x 2B, 1 x 4B, 1 x 2H Coloured Pencils (1 Packet of 12) Highlighter Pen Eraser, Ruler (at least 30 cm not metal) Scissors, Sharpener, Glue. Not Allowed: METAL RULERS WHITE OUT / CORRECTION FLUID NIKKO PERMANENT MARKERS 5 SUBJECT BOOKS SUBJECT REQUIREMENTS English Mathematics Science Social Science Health & Physical Education Creative Industries - Visual and New Media Arts/Performing Arts Instrumental Music Students Only Instrumental Music Students Only Lote Design and Technologies Food Technologies and Business Digital Technologies 1 A4 Exercise Book 128 Page 1 x A4 Display Folder - 20 Sleeve 1 x A4 Exercise Book - 128 page 1 x A4 Binder Exercise Book - 64 Page Protractor, Ruler 1 x A4 Exercise Book - 128 page 1 x A4 Exercise Book - 128 page 1 x A4 Exercise Book - 128 page 2B and 4B Pencil 1 x A4 Exercise Book 48 page Fine point black pen (eg: Artline 0.4) 1 x HB pencil Eraser 1 x HB Pencil Eraser 2 x A4 Exercise Books - 128 page 1 x A4 Display Folder - 20 sleeve Full length Apron (No pockets) 1 x 2H Pencil Hair Tie for long hair/hair Net 1 Hand Towel Hair Net (1 pack of 10) A4 Exercise Book - 64 page 1 x USB / Memory Stick 2 GB 1 x A4 Macquarie Binder Dictionary & Thesaurus Pack USB/Memory Stick 4GB Scientific Calculator (Sharp) EL 531 1 x A4 Graph Pad - 25 page 1mm USB / Memory Stick 2GB Apron (full length) 1 x Manuscript Book Spirax 30 page 1 x Manuscript Book - Spirax 30 page Own headphones 1 x Grid Book (10mm squares) - 48 page 1 x White Board Marker Fine point black pen (eg. Artline 0.4) 1 x A4 Exercise Book - 64 page A4 Exercise Book - 64 page A4 Display Folder 1 x Bud Earphones 3.5 mm jack (not included in stationery pack - available to buy from the Uniform Shop) 8 Scholarship Application

CONTENTS 2 X Blue Pens 1 x Protractor 2 x Red Pens 7 x 128 page A4 Exercise Books 2 x HB Pencils 4 x 64 page A4 Exercise Books 2 x 2B Pencils 1 x A4 Graph Pad 25 page, 1mm 1 x 4B Pencil 1 x Grid Book 1 x 2H Pencil 1 x A4 Visual Art Journal - 120 page 1 x Highlighter Pen Coloured Pencils Eraser 1 x A4 Macquarie Binder Dictionary & Thesaurus Pack 1 x Music Exercise Book - 96 page 1 x Apron (Full Length) Plastic Ruler Hair Nets (1 pack of 10) Scissors Pencil Sharpener 3 x A4 Display Folder - 20 Sleeve 1 x Scrapbook - 64 page 1 x Artline Pen 0.4 1 x Whiteboard Marker Glue Stick 1 x USB/Memory Stick 4GB Headphones and Sewing Kit need to be purchased separately (Approx) Price = $95 + Calculator $27.00 (Sharp EL 531 Calculator - available at School) The Uniform Shop is fully stocked with uniforms and stationery in early November. We recommend purchasing uniforms at this time to avoid the January rush. We also recommend purchasing the Year 7 Stationery Pack to ensure all students have the correct supplies. Extended trading hours in November and December will be advised. A lay-by facility is also available. Scholarship Application 9