Sylvia Walton Honours Scholarship Application Form

This scholarship has been established to support an autistic psychology student undertaking their Honours year within the Olga Tennison Autism Research Centre.

Personal details

Given name *

Family name *

Student ID *

Email *

Mobile *

Are you an Australian Citizen? *

Additional details

Please select the course you are intending to enrol into in Semester 1 2024:

Select your campus:

Do you have a confirmed autism diagnosis? * Please note: Students must have a confirmed ASD diagnosis with evidence to be eligible for this scholarship.

Please provide supporting documentation of your diagnosis. * Supporting documentation is written verification from someone who is qualified to comment on your circumstances, such as a registered health practitioner. The person must not be related to you or in a close personal relationship with you.

Please confirm that you have a minimum Weighted Average Mark (WAM) or equivalent of 70 *

Please upload your most recent academic transcript:

Acknowledgement

I acknowledge that should I be awarded this scholarship I will:

• Supply an annual report to the Donor
• Maintain satisfactory academic progress
• Maintain enrolment in the eligible Honours course
• Potentially be asked to participate in promotional activities

Acknowledgement *

I acknowledge that I will do the above

Validation

Confidentiality

All information provided by applicants will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application to determine your eligibility for a scholarship, bursary or grant, and to assess your application as part of the ranking and allocation process. In accordance with privacy laws, personal information about you contained in your application will not be used for any other purpose or disclosed to any person who is not part of the La Trobe assessment and allocation process, without your permission. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the Scholarships Unit via email at scholarships@latrobe.edu.au The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy/