PRINCIPAL S SCHOLARSHIPS BRIGHTON CAMPUS For students entering Years 5 to 11 in 2019 and 2020

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PRINCIPAL S SCHOLARSHIPS BRIGHTON CAMPUS For students entering Years 5 to 11 in 2019 and 2020 Applications are invited from girls for the award of Principal s Scholarships. Firbank Grammar and external candidates are eligible to apply. Applicants must be academically sound and demonstrate an outstanding commitment to achieving excellence in leadership and/or extra-curricular activities. Candidates will be short listed for an interview with Dr Jenny Peters, Director of Admissions and the Principal. The scholarships will be tenable until the student has completed Year 12, subject to an annual review and satisfactory continuing performance and participation in School activities. They will be awarded by interview and presentation of their curriculum vitae. Applicants should submit the following: The Application Form (to be completed by parent) The Curriculum Vitae Form (to be completed by the student) A copy of the applicant s most recent school report A copy of the applicant s last NAPLAN test result A written reference An Application Fee of $80.00. Please send COPIES of documents only! Applications close Thursday, 8 March 2018 and selected applicants will be invited to an interview with the Principal and/or Director of Admissions. Not all applicants will be interviewed. Applications should be addressed to: Dr Jenny Peters Director of Admissions Firbank Grammar School 51 Outer Crescent BRIGHTON 3186 All candidates will be notified of results by mail. Page 1 of 7

PRINCIPAL'S SCHOLARSHIP APPLICATION FORM Brighton Campus Principal's Scholarship to enter at Year 5 to 11 in 2019 and 2020 THIS FORM MUST BE COMPLETED BY A PARENT OR GUARDIAN - Please use BLOCK LETTERS STUDENT S DETAILS Name of Student: Surname First Name Date of Birth: Year Level 2018 2019 Current School: Is the student presently enrolled to attend Firbank Grammar School? Yes No Is the student presently enrolled to attend another Independent School? Yes No If the student does not live with both parents, with which parent does she live? Do you wish your daughter to be considered for a Boarding Scholarship? Yes No How did you hear about these scholarships? APPLICATION FEE PAYMENT A fee of $80 is required at time of application Cheque (payable to Firbank Grammar): OR Visa: Mastercard: Cardholder s name: Credit Card Number: Expiry Date: Cardholder s signature: Privacy: Firbank Grammar School is bound by the National Privacy Principles contained in the Commonwealth Privacy Act. The School s Privacy Policy is available on our website: www.firbank.vic.edu.au Page 2 of 7

DETAILS OF PARENTS/GUARDIAN FATHER/GUARDIAN S DETAILS Title Given Names Surname Address: Postcode: Country of Birth Mobile Number Work Telephone: email: Occupation: Company: Signature: MOTHER/GUARDIAN S DETAILS Title Given Names Surname Address: Postcode: Country of Birth Mobile Number: Work Telephone: email: Occupation: Company: Signature: Page 3 of 7

PRINCIPAL'S SCHOLARSHIP APPLICATION FORM Brighton Campus Principal s Scholarship to enter at Year 5 to 11 in 2019 and 2020 THIS FORM MUST BE COMPLETED BY THE STUDENT AND NOT THE PARENT Name: Year Level: Surname 2018 2019 First Name ACADEMIC OR COMPETITION AWARDS Have you ever won any prizes for work done at school or in any academic competitions? Please specify. LEADERSHIP Have you held a leadership position at school? (e.g. School Captain, House Captain, Team Captain) Please specify. Have you held a leadership position outside of school? (e.g. Youth Group, Team Captain) Please specify. Page 4 of 7

CULTURAL Do you like reading? If so, what type of books interest you the most? Are you involved with or do you have any interest in Dance or Drama? If yes, please specify. Do you play a musical instrument/s? If yes, please tell us for how long you have been studying that instrument and list any examination or competition results. Do you play in an orchestra, band or sing in a choir? Please give details. Have you completed any community service/voluntary work? Please give details. Page 5 of 7

SPORT What sports have you been involved in? Have you represented your school in any sporting team at school? If yes, please specify. Do you play sport at any club? If yes, please give us some details. Have you been selected for any representative teams, e.g. zone, state or national? Please give details. Have you been awarded any certificates, individual trophies or awards in any sport? Please give details. Page 6 of 7

FURTHER CONSIDERATIONS Outline any other considerations which you feel are of importance in supporting your application. Privacy: Firbank Grammar School is bound by the National Privacy Principles contained in the Commonwealth Privacy Act. The School s Privacy Policy is available on our website: www.firbank.vic.edu.au Page 7 of 7