MADALAH Secondary Scholarship v2

To SAVE your online application please use the SAVE button at the bottom of each section. There are 12 sections in total and you do not need to complete these in order. Once you have saved a section/s, you may log out and return at a later date to complete and submit.

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1. Applicant Information

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2. APPLICANT TO RESPOND TO QUESTIONS

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MADALAH looks forward to meeting each of our successful applicants personally and we are keen to learn about your/their interests, talents and ideas to find out how MADALAH can support your/their learning and development journey. The following section must be completed by the applicant.

We recommend that the applicant writes their response to these questions in either an email or word document first before copying and pasting into the below. This just ensures that if the web browser/application times out, they do not have to rewrite.

What does it mean for you to be Indigenous?*

What would you like to do when you finish your secondary schooling?*

Name a good leader and describe how you think they are a good leader?*

Describe a situation where you have demonstrated leadership.*

Tell us something about your family?*

What are your strengths? Do you have any special talents? E.g. singing, dancing, playing an instrument, painting etc.*

What is an important issue to you? How have you made a positive contribution to change this issue.*

Is there anything else that you would like us to know that is relevant to this application?*

This is a very competitive process, tell us why you think you should be awarded a MADALAH Scholarship?*

3. PARENT/GUARDIAN INFORMATION

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4. PARENT/GUARDIAN RESPONSE

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In the following section the parent/guardian is required to answer all of the questions in support of the applicant applying for a MADALAH Secondary Scholarship.

Why would you like the applicant to attend one of our partner schools on a MADALAH scholarship?*

How would you describe the applicant's personality?*

In relation to leadership in their community or at school what do you see as the applicant's best achievement?*

Tell us about the applicant's hobbies, interests and/or talents.*

How would you support the applicant to complete their education to graduate year 12?*

What goals do you have for the applicant once they complete year 12? *

Would you like to add any further information to support this application?*

5. EMERGENCY CONTACT INFORMATION

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Emergency contact 1

(Should be different to Parent/Guardian 1 & 2)

First Name*

Last Name*

Relationship to applicant*

Mobile*

Home Phone

Work Phone

Do you have permission to pick up the applicant? *

Yes
No

Emergency contact 2

(Should be different to Parent/Guardian 1 & 2)

First Name*

Last Name*

Relationship to applicant*

Mobile*

Home Phone

Work Phone

Do you have permission to pick up the applicant? *

Yes
No

Other Contact

First Name

Last Name

Relationship to applicant

Mobile

Home Phone

Work Phone

6. MEDICAL/HEALTH INFORMATION

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7. EDUCATION/SCHOOLS

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8. ABSTUDY/Disadvantage

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9. Documents

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File Upload Considerations

Upload files in PDF, word or other text based documents where possible. If you need to upload photos of documents, try to reduce the file's size before sending.

Uploading may take a while depending on your internet connection. Please be patient when uploading large documents, if you do have issues uploading your files please use the help button to let us know.

If you are having trouble uploading your attachments, please forward them to scholarshipsadmin@madalah.com.au and we will upload on your behalf.

Can you provide a copy of your birth certificate, if so please upload

Proof of descent*

Most recent academic results*

Referee letter*

Photo*

Other

Baby Photo (this will be used for MADALAH Year 12 Graduation)

10. LEGAL REQUIREMENTS RELATING TO THE APPLICANT

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Custody Arrangements

Are there any legal issues pertaining to the applicant, for example court orders, DVOs and/or child protection orders?*

Yes
No

Child Protection

Is the applicant under the protection of Director General of the Department of Communities – Child Protection and Family Support (CPFS)?
Yes
No

If 'Yes', please provide

CPFS District
Case Manager Name
Case Manager Preferred Contact Number
Case Manager Email Address

Family Court Orders

Are there any current family court orders pertaining to the welfare, safety, or parenting arrangements for the applicant?
Yes
No

If 'Yes', what is the commencement date (DD/MM/YYYY)

Click icon to choose date from calendar

End date (DD/MM/YYYY)

Click icon to choose date from calendar

Please attach a copy of the court orders.

Other Court Orders

Are there any other court orders, such as a domestic violence order, pertaining to the welfare, safety, or parenting arrangements for the applicant?
Yes
No

If 'Yes', what is the commencement date (DD/MM/YYYY)

Click icon to choose date from calendar

End date (DD/MM/YYYY)

Click icon to choose date from calendar

Please attach a copy of the court orders.

MADALAH Secondary Scholarship v2

Help me with this Application

1. Applicant Information

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Applicant General Information

Cultural Identity

CURRENT LIVING ARRANGEMENTS

Hometown Address

Metro Address (if different to the above)

Postal Address (if different to the above)

2. APPLICANT TO RESPOND TO QUESTIONS

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3. PARENT/GUARDIAN INFORMATION

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PARENT/GUARDIAN 1

PARENT/GUARDIAN 2

4. PARENT/GUARDIAN RESPONSE

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5. EMERGENCY CONTACT INFORMATION

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Emergency contact 1

Emergency contact 2

Other Contact

6. MEDICAL/HEALTH INFORMATION

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GENERAL INFORMATION

HEALTH CARE INFORMATION CONSENT

MEDICAL and BEHAVIOUR CONDITIONS

DIETARY/NON-DIETARY HEALTH CONDITIONS

DIETARY

NON-DIETARY

ABORIGINAL MEDICAL SERVICE

7. EDUCATION/SCHOOLS

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GENERAL INFORMATION

Primary Education

Previous Secondary Education

Preferred School Details

To be considered for a MADALAH Secondary Scholarship you must be willing to attend an approved MADALAH Partner School.

8. ABSTUDY/Disadvantage

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ABSTUDY

Disadvantage

9. Documents

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File Upload Considerations

10. LEGAL REQUIREMENTS RELATING TO THE APPLICANT

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Custody Arrangements

Child Protection

Family Court Orders

Other Court Orders

11. ASSISTANCE WITH APPLICATION

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