Disaster Relief Bursary Application form IMPORTANT!! This one-off bursary payment is for students affected by current disasters listed on the Australian Disasters website. The current disaster being supported is the Victorian Bushfires (January 2026). Please provide the following information: My detailsGiven name * Family name * Student ID number Mobile phone * Bursary payments are processed in one of two ways: Digital Mastercard which is sent to your mobile phone and requires NFC technology to activate the card OR Bank transfer. If your phone is not NFC enabled, contact the Scholarships team before applying. Also add your bank details to StudentOnline in preparation. Student email address * (this must be your La Trobe student email address eg: J.Bloggs@students.latrobe.edu.au) Street address * City / Suburb / Town * Postcode * Personal circumstanceIn what way has the disaster affected your studies? Select all reasons applicable to your situation. * You may select more than one. Travel to campus restricted Damage to equipment used for study Living in alternative accommodation Loss of power for more than 24 hours Major damage to your principal place of residence Major damage to a major asset or assets that you own at your principal place of residence Serious injury An immediate family member who is an Australian citizen or resident has died or is missing. Please attach evidence of any disaster payments from Centrelink or the State or Federal Government. This payment can be for yourself or your immediate family and this evidence will be prioritisied during the selection process.(PDF, PNG or JPG file types only. Max 8MB file size) Are you registered with Accessibility? https://www.latrobe.edu.au/students/support/wellbeing/services/accessibility-hub Yes No Please indicate how many dependent children you have under the age of 16 * Children must be in your care. -- Please Select --0123456 or more Have you been able to work since the disaster? * Yes No I don't have current employment Are you able to supplement lost income from other sources of financial support? * Other sources may include a partners income or money from a parent/care giver. Yes No I have not lost income Do you currently receive Centrelink payments? * E.g. Youth Allowance, Abstudy, JobSeeker, Parenting Payment, Family Tax Benefit. Yes No Declaration * I declare that the information provided in this form is true and correct I agree that decisions of the University are final and that no correspondence will be entered into regarding the outcome of this application 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 Validation
