Academic Bursary Application Form

Please complete the application form below.

Before you submit your application please ensure you have completed and included the following:

  • Eligibility criteria read and met
  • Completed all questions on the application form
  • Attached a copy of your academic transcript to your application form

Personal Details

Are you an Australian Citizen or permanent resident?
Gender

PO Box not acceptable

If different from above

Study Details

Month/Year of completion

Written Statements

Do you receive an employer linked bursary?

Provide a brief statement no longer than 250 words

Provide a brief statement no longer than 250 words

Provide a brief statement no longer than 250 words

Provide a brief statement no longer than 250 words

Student Declaration

In submitting this form, I declare that the information supplied on this form and in the accompanying documents and statements is complete and correct to the best of my knowledge. If any of the information is found to be false or misleading, I accept Mackay Regional Council may cancel any bursary that may be awarded to me on the basis of this application and I may be required to repay any monies obtained.