Access and Equity (Growth) Scholarship Registration Form

VTAC ID (if applicable):
First name:	*
Surname:	*
Email address:	*
Postal address:	*
Postcode:	*
Contact number (Home):	*
Contact number (Mobile):	*
Course: *
Please answer the following questions:
Briefly outline your circumstances of financial hardship that you believe fit under ‘Access & Equity’ criteria for this scholarship.

Are there other factors, in addition to financial hardship, that disadvantage you or act as obstacles in pursuing your studies? (E.G. personal/family circumstances, disability, ethnicity, resource access, cultural elements, etc)

Explain your motivation for wanting to undertake this qualification through Kangan Institute’s 2013 Scholarship Program, and how you intend to apply your training upon completion of the course.

Explain your motivation for wanting to undertake this qualification and how do you intend to use it?

Please make sure you have completed the check list and understood the terms and conditions
I understand and accept all terms and conditions for the Growth Scholarships at Kangan Institute
I am not currently a recipient of another financial grant or study assistance
I am not currently eligible for Government subsidised funding
I have completed a separate application form for this course