APPLICATION FORM 2010
( Previous Applicants may re-apply )
Please complete in full. If insufficient space, please provide an electronic attachment in MS Word format.
Title:
Family Name:
Given Names:
Date of Birth: (dd/mm/yyyy)
Gender:
Enrolled University:
Student Number:
Discipline in which you are currently studying:
Subject Results to Date: (Please attach an electronic copy of academic record)
Term contact details:
Address:
Phone:
email:
Parent contact details:
Address:
Phone:
email:
   
Are you: An Australian Citizen A Permanent Resident
   
Statement of your involvement in your local community or Agricultural Show:
(Please attach electronic separate sheet)
Name of Agricultural Show Society:
Member or receipt number:
What do you envisage doing when you have completed your studies (eg career path)?
(Please attach electronic separate sheet)

Conditions:

  1. The value of the scholarship is $2,000.
  2. Eligible applicants shall:
    1. Be enrolled in an Australian Tertiary Institution course related to agriculture;
    2. Be a member of an Australian Agricultural Show Society;
    3. Be Australian citizens or Permanent residents of Australia.
  3. Successful applicants must be prepared to travel to the Capital City of their home state during the Annual Royal Show to formally be presented with the scholarship.

Closing date for NSW applicants is the 12th March 2010. Closing date for VIC, SA, WA, QLD, TAS and NT applicants is the 30th June 2010 - Early Applications will be appreciated.
(Note: Applicable State will be determined by membership of the nominated Agricultural Show Society)

Declaration:

I declare that the information I have supplied is the best of my knowledge correct. I have read and understand the conditions of the Scholarship.
  
  
  

Applications can also be mailed to: (Click here to open and download the pdf format)

The Secretary Australian Council of Agricultural Societies,
PO Box 124 Mitchell ACT 2911, by closing date.
Late applications will not be considered.
For further information contact