Bursary Application

To assist the Bursary Committee, we request that you please complete this form and attach supporting documentation. Providing this information will assist the School in understanding your circumstances and assessing your application.

Supporting Documentation

Please attach copies of the following supporting documentation with your Bursary Application:

Copy of your latest tax return/s
All payslips coming into the household including Centrelink payments statement (last 3 months)
Rent or mortgage bank statement
Statement for any investment properties in your name or Family Trust
Any other information that you feel needs to be considered in assessing your application

Eligibility

Bursaries are considered where a family can show genuine financial hardship. Bursaries are not ongoing and applications need to be resubmitted in Term 2 each year.

Privacy

As part of the Bursary Application Process Stuartholme School asks you for certain personal information. Such information will be used to assess your application. The personal information may be stored electronically or in paper files.

We take all reasonable steps to ensure that information held in paper and/or electronic form is safe and secure, and protected from misuse, loss, unauthorised access, modification or disclosure. We take all reasonable steps to ensure that personal information is only used by staff for the purpose of assessing your application.

Bursary Application

Parents/Guardians
Mother's (Guardian) Name*
First Last
Occupation*
Employer Name*
Occupation status*
- Full-time
- Part-time
- Self-employed
- Unemployed
- Pensioner
I am Alumnae of Stuartholme School*
- Yes, I am Alumnae of Stuartholme School
- No
Father's (Guardian) Name*
First Last
Occupation*
Employer Name*
Occupation status*
- Full-time
- Part-time
- Self-employed
- Unemployed
- Pensioner
Personal Statement / circumstances relevant to your financial position*
Children
Include only those children attending school and/or who are below school age and/or are financially dependent.

Please list all children*

To add additional dependants, click on the plus icon to the right.

Full name	School	Year level	Day Student/ Boarder

Are you receiving any discounts or bursaries from other schools?
Family Circumstances
Marital Status*
- Married
- Single
- Divorced
- Separated
- Defacto
- Widow
- Widower
Statement of Financial Circumstances - Household Income
If not applicable, please add $0
Mother's (Guardian) income after tax*
(attach statement of earnings at end of form)
Father's (Guardian) income after tax*
(attach statement of earnings at end of form)
Income of dependents (including Government allowances)*
(attach statement of earnings at end of form)
Government Allowances (including family allowance)*
(attach proof of allowance at end of form)
Pension*
(attach proof of pension at end of form)
Pension type
Other income*
(attach proof of other income at end of form)
Other income type
Total Income
$ 0.00
Statement of Financial Circumstances - Outgoings
If not applicable, please add $0
Outgoings - Mortgage/rental*
Outgoings - Investment/rental income expenses*
Outgoings - Car/transport expenses*
Outgoings - Credit cards/personal loans*
Outgoings - Electricity/gas*
Outgoings - Rates*
Outgoings - Telephone/internet*
Outgoings - Insurance (home, personal, health, car)*
Outgoings - Health (chemist, medical)*
Outgoings - Personal (clothing, entertainment)*
Outgoings - Groceries/household supplies*
Outgoings - Education/school fees*
Outgoings - Other financial commitments*
Statement of Assets and Liabilities
Assets*
Value of House(s) Value of Car(s) Other Assets
Liabilities*
Owing - House(s) Owing - credit cards Owing - other
Supporting documentation
Document upload*
Please include Statements of earnings/payslips for both parents/guardians and proof of any other income.
Drop files here or

Accepted file types: pdf, jpg, Max. file size: 10 MB, Max. files: 6.
Application Declaration
I declare that, to the best of my knowledge, all information provided in the Bursary Application and the supporting documents submitted are true and correct and agree that I have a continuing obligation to advise Stuartholme School if there is a change in my circumstances. I understand that Stuartholme School may decline to assess my application if all information requested is not provided to the School. I understand that the final decision about the awarding of bursary support remains at the discretion of the Principal.
I declare that, to the best of my knowledge, all information provided in the Bursary Application and the supporting documents submitted are true and correct and agree that I have a continuing obligation to advise Stuartholme School if there is a change in my circumstances. I understand that Stuartholme School may decline to assess my application if all information requested is not provided to the School. I understand that the final decision about the awarding of bursary support remains at the discretion of the Principal.
- Accept
I have read and accept Stuartholme School's Privacy Policy.*
- Accept
View our Privacy Policy