La Trobe Access Scholarship Application Form

This form is for Indigenous students only. Please ensure you have attached all of your supporting documents and wait for them to upload before you press submit. Applications that are submitted without supporting documentation will not be considered. For information on the types of supporting documentation please visit: supporting documentation.

Required fields are marked with an asterisk (*).
I am of Aboriginal and/or Torres Strait Islander Descent * This scholarship is only open to students who identify as Aboriginal and/or Torres Strait Islander

I'm sorry, you are not eligible for this scholarship.

My details
Gender *
Date of Birth *
Please use your La Trobe email if available
Do you reside in a regional, remote or very remote area? * Check the Health Workforce Locator site (Check the 2016 box next the "ASGS Remoteness Areas")

Personal circumstance
Are you the first person in your immediate family to attend university? * (immediate family = parents, brothers, and sisters)
Do you speak another language at home other than English? *
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)
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)
(to receive consideration for this criteria, you will be required to provide evidence, see below) Personal statement 2500 characters
Applications submitted without medical evidence will not be scored for medical disadvantage.

Family circumstance
What is your Household structure? *
Do you have Children? *

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? * You will be required to provide evidence.
(e.g. Austudy, ABSTUDY, Job Seeker or Family Tax Benefit)
For information on suitable evidence check our supporting documentation requirements website.
(.pdf, .doc, .docx, .jpg or .png file types only. Max file size 8MB)
Please provide the following information regarding your financial circumstances.
Household income includes you, your parents or guardians, or your partner.
(e.g. Australian Tax Office Notice of Assessment for 2020-2021, or 3 consecutive pay slips dated within the last 3 months,  .pdf, .doc, .docx, .jpg or .png file types only. Max file size 8MB)

Other difficult circumstances
Has your education been disadvantaged by difficult circumstances not outlined above? * (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.)
(to receive consideration for this criteria, we require supporting evidence)* Personal statement 2500 characters
(This may be in the form of a SEAS Statement, death notice, police report or statement by a relevant responsible person. For example; health care professional, social worker, counsellor, religious or community leader, school principal or teacher etc, unrelated to you as the  applicant, who can verify the circumstances. Statements of Support must  be dated, on letterhead or include contact details of referee. Statement must include duration and impact of the circumstances.  *Applicants who do not supply supporting documents will not be scored for difficult circumstances. .pdf, .doc, .docx, .jpg or .png file types 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

Validation