Form Contents

Required fields are marked with an asterisk (*).
My details
Date of Birth *
(This must be your La Trobe student email address - do not use your LTU log-in. If you incorrectly use your LTU log-in, you will not receive correspondence relating to your application from us)

Scholarship details
Please focus on the benefits this grant would provide. Access and equity circumstances, including financial hardship, should be detailed in the appropriate sections below.

Personal circumstance
Are you or will you be the first person in your immediate family to attend university? (immediate family = parents, brothers, and sisters)
Are you of Aboriginal Australian or Torres Strait Islander descent?
Have you ever spent time in formal out-of-home care? (e.g. foster care, residential care, kinship care or been a ward of the state)
(months)
Do you have a medical condition or disability which impacts your ability to study? Examples of medical conditions and disabilities include but are not limited to: Physical impairment (e.g. blindness), Learning disabilities (e.g. dyslexia), Chronic pain, Eating disorder (e.g. anorexia), Mental illness (e.g. depression), Major illness (e.g. cancer)
You must provide a statement of support from a medical professional who treated or is currently treating your condition(s)/disability. PLEASE NOTE: .pdf file type ONLY. Max file size 8MB.
Are you or have you been a refugee?

Family circumstance
Marital status
Household structure
Children
Parenting

Financial circumstance
Has your education been adversely affected by your financial circumstances or do you expect your tertiary education to be adversely affected by your financial circumstances?
Do you, the applicant, currently receive any Centrelink benefits (e.g. Youth Allowance or health care card)?
(.pdf, .doc, .docx, .jpg or .png file types only. Max file size 8MB)
(.pdf, .doc, .docx, .rtf, .txt, .jpg or .png file types only. Max file size 8MB)
(Please type a number)

Impacts on education
Has your education been disadvantaged by difficult circumstances? (examples of difficult circumstances may include abusive family circumstances, excessive carer duties, chronic medical condition of a child, death of close relative, homelessness, recent multiple relocations, recent separation of parents, relationship breakdown, victim of crime, bullying.)
(max. 250 words)
(.pdf, doc, docx, rtf ot txt file type only. Max file size 8MB)

Privacy

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 Office. The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy