Ministers’ Children’s Bursaries

Personal Details

Name*

Title Minister’s Given Names Minister’s Last Name

E-mail address*

Postal Address for Correspondence*

Street Address Address Line 2 City State Postal Code

Mobile Number*

Telephone Number*

Secondary School child for whom the application is made

Name*

First Last

Year Level*

School Attended*

Gender of Student*

(required for some gender specific funds)

Border or Day Student?*

Minister’s Stipend or part-time fraction as applicable*

Spouse’s Taxable Income (last financial year)*

Other dependent children in the family

Name	Year Level	School Attended	Boarder or Day Pupil

Other

Please let us know if there are other matters the Grants and Scholarships Committee should be aware of to consider your application: