Scholarship Application for a General Excellence Scholarship 2018 for boys entering Years 7 to 11 in 2019 * Indicates required field Family Name of Applicant * First Name(s) * Date of Birth * Parent 1 * Parent 2 Contact email address * (Email will be the method of contact so please ensure the address is active and correct. Please regularity check your junk mail folder.) Residential Address * Contact telephone number * Parent 1 Occupation Parent 2 Occupation School attending in 2018 * Year Level at school in 2018 * Is the applicant receiving a scholarship at his current school? * YesNo Brother attending CGS? * YesNo Details of other schools attended since you began secondary schooling, if any: Details of academic awards, distinctions, prizes, etc., if any: Sporting involvement and achievements: Other cultural, recreational, community activities and interests: Is there any further information you would like to provide in support of your application? Names of referees, one of whom should be a senior staff member from your present school: Referee 1 Name * Position * Email * Referee 2 Name Position Email Have you also applied for an Academic Scholarship? * YesNo Please note the following conditions: The closing date for applications is Wednesday 31 January 2018 and late applications will not be accepted Detailed information about this scholarship is available here on the School's website. Boys selected for interview will be contacted by email on Thursday 1 February 2018 and given further details of an academic test on Saturday 10 February 2018 which is an additional requirement to the application. Interview times will be arranged directly with the selected candidates after the testing date. Those applicants not selected for interview will also be notified by email. There is no charge for this application but should the applicant be chosen for an interview then he will be required to sit the academic testing at a cost of $105. All applicants will be sent an email acknowledging receipt of this application. If you do not receive this then contact the Registrar's Office at the school on 9835-1777. I confirm that I have read and understood Camberwell Grammar School's conditions as well as the Privacy Act Notice. PRIVACY ACT NOTICE The personal information on the following pages is collected by Camberwell Grammar School in order to process an application for a Scholarship. This information is used to assess an applicant's suitability for a scholarship, as well as to give the school the ability to contact you for the purposes of disseminating information regarding the school and the scholarship. If we do not obtain this information we will not be able to process the application. The information provided on this form will be used by the school to contact those families who are to be invited for an interview and to whom an initial offer of a scholarship may be made. The information will be kept by Camberwell Grammar School until the end of the year in which the applications are submitted, at which time it will be destroyed or permanently de-identified. Parents may seek access to the information by contacting Camberwell Grammar School on 9835-1777. All information remains confidential and will not be used for any other purposes.