Student Equity and Disability Services, International and Students
Application for Hardship Grants 2016
Please note: The granting of Hardship grants are at the discretion of the Housing and Finance Officers. The decision of the Housing and Finance Officers is final and no correspondence will be entered into.
Applicant Details Family Name: Mr / Ms ………………………………………………………… First Name: ………………………………….. Age: ………. Date of Birth: ……/ ……/ …… ID number: Marital Status (please circle):
Single / Partnered / Other (Widowed, Divorced, etc.)
Number of Children:…………Age of Children………………………………………….. Are you an Australian Citizen? Are you a Permanent Resident? Are you a holder of a Humanitarian Visa?
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Yes Yes Yes
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No No No
Semester Address: ………………………..……………………………………………………… ……………………………………………………………………………..Post Code: ……….….. Telephone Number: ……………………….. Mobile: …………………………………………... Email: ………………………………………………………… Parental / Second Contact Address: …………………………………………………………... ………………………………………………………………………….…Post Code………...…… Are you a currently enrolled local undergraduate degree or associate degree or Unilink student? Yes/No (please circle) Have you previously received a grant in 2016 from Student Equity? Yes/NO If yes, please list? ………………………………………………………………………………………………………. ……………………………………………………………………………………………………….
Course and Study Details Current Course: …………………………………………………………………………………….. Present Status: Full Time / Part Time Year level: 1, 2, 3, 4, 5, 6………(please circle) Studying: On-Campus Swinburne OnLine OUA …………(please circle)