ICS Scholarship – Expression of Interest Page 1

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    ICS Scholarship - Expression of Interest
    The ICS Scholarship is an Australian Government initiative that aims to improve the professional employment prospects of Indigenous Australians. ICS enables Indigenous tertiary students to gain professional qualifications and experience and move into employment on completion of their studies.
    As a CareerTrackers intern, you may be eligible to apply for an ICS Scholarship. Before commencing the Expression of Interest (EOI) please ensure you have read and understood the ICS Student Info Pack.
    Please note that by completing the below form you are only registering your interest for ICS and it is not a guarantee that your application will be successful. However, to keep you in the loop we will notify you via email as your application progresses through each stage of the process. As there are a limited number of ICS Scholarships available each semester, there may be a delay between applying for ICS and when your application is approved.
    If you have any questions while completing the form, feel free to contact your Advisor or email us at ics@35.201.25.97.
    Have you received ICS before? *
    YesNo
    If you have received ICS before, what dates did you previously receive ICS?

    Item 1 - Intern Details
    Personal Details
    Gender *
    MaleFemale
    Date of Birth *
    Email *
    I am one of the following: *
    Residential Address
    State: *
    Postcode *

    Mobile number *

    Tertiary Education Details
    University *

    Campus *

    Course of study *

    Study Award *

    Enrollment Status

    Item 2 - Internship Plan
    Requested commencement of ICS payments *

    Expected University Graduation date *

    Item 3 - Bank Account Details

    Electronic Funds Transfer
    Example of Bank Details:

    Name of Branch: Westpac – Windsor
    Bank/State/Branch No. (BSB): 033-088
    Account No: 562198
    Bank Details
    Name of branch *

    Bank/State/Branch No. (BSB) *

    Account No. *

    Item 4 - Intern Certification
    I certify that:

    • - I have checked my details at Item 1, and the details of the Internship Plan at Item 2 and certify that to the best of my knowledge that they are true and complete;
    • - I have read and understand the 'ICS Student Info Pack';
    • - I agree to abide by the eligibility requirements listed in the 'ICS Student Info Pack';
    • - I am of Australian Aboriginal and/or Torres Strait Islander descent; identify as an Australian Aboriginal and/or Torres Strait Islander; and am accepted as an Australian Aboriginal and/or Torres Strait Islander in the community I live or have lived;
    • - I am enrolled for full-time study for my first undergraduate degree at an Australian university;
    • - I am an Australian resident;
    • - I am aware that under the Criminal Code Act 1995 (Cth) section 137.1 giving false or misleading information is a serious offence; and
    • - I undertake to advise Centrelink of ICS, and the proposed commencement date as outlined in Item 2 if I am receiving any payments from Centrelink, including ABSTUDY.
    By signing here you agree to the above: *

    Date *