Kela Foundation / CHAC Scholarship Application

Contact Details

Please complete all sections prior to submission

Students

Applicant Details:

Financial Summary

Financial Assistance

Detail any financial assistance; include any separate income available to the child/ren (e.g., Youth Allowance, scholarship, grandparents, other relatives, community group grant, etc.)

Personal Statement

Please outline your reasons for for your Kela Scholarship bursary application including details of your background, family situation and how the scholarship would benefit your Secondary education and future plans (up to 300 words).

Disclosure

I/We hereby make an application for fee assistance. This application has been completed conscientiously believing that all details contained herein to be true and correct.

I/We declare that I/we have disclosed all sources of income and support and that this application represents a full and complete disclosure of my/our family's financial position, is true and correct in every particular, and is submitted in support of this application without reservation or exception.

I/We have attached my/our most recent financial documentation and other supporting documents.

I/We realise that an improvement in circumstances may result in a change in the bursary. I/We further understand that a failure to disclose all income or to notify of improvements in financial position may result in the termination of the bursary.

I/We understand that application for, and award of, a bursary are confidential transactions between CHAC, the Kela Foundation, and the applicant.