N
OR T H A
USTRALIAN IINDIGENOUS
NDIGENOUS
NORTH
AUSTRALIAN
LLAND
AND &
AM
ANAGEMENT A
LLIANCE
SE
& SE
EA
MANAGEMENT
ALLIANCE
LAND AND SEA MANAGEMENT
Study Assistance Program
APPLICATION FORM 1
INDIVIDUAL APPLICATION
Which course do you want study assistance for?
(Please tick one of the boxes below)
A. Certificate Course
!
B. Diploma Course
!
C. Degree Course
!
D. A Group Training Course
! (Please fill in pgs 8 & 9)
Personal details
Mr ! Mrs ! Miss ! Ms !
Name:
Community:
Postal Address:
Ph:
Mob:
Email:
1. Please give us the names of 2 people we can talk to about your
application.
Name:
Ph:
Name:
Ph:
1
2. Have you done study before? Please fill out the table below.
Year
Commenced
Course Name
Location
Year
Completed
3. Have you attached copies of certificates received from any
study you’ve undertaken?
Yes !
No !
4. For what course would you like to get study assistance?
Course Name
Location/college
Dates/Length
of Course
5. Explain why do you want to do this course.
6. How do you think this study will help you?
2
How do you think this study will help your family?
How will your study help your community?
Please sign here: ______________________
Date: ____/ ____ / ____
Now send your application to:
Scholarships Officer
North Australian Indigenous Land and Sea Management Alliance
Building 42,
Charles Darwin University NT 0909
You can also fax your application to 08 8946 6388
Or email to [email protected].
3
APPLICATION FORM 2
GROUP TRAINING
Please fill in if you are organising or supervising the group
training.
Personal details
Mr ! Mrs ! Miss ! Ms !
Name:
Community:
Postal Address:
Ph:
Mob:
Email:
A. Please give us the names of 2 people we contact to talk about
your application.
Name:
Ph:
Name:
Ph:
B. Course details
Course Name
Location/college
Dates
4
C. Group Training Budget
Please include a detailed budget of costs to undertake the group training
and the total amount you are applying for.
Example
Name
G. Smith
L. Brown
B. Cool
(see pg 10 if you would like to use this template, not essential)
Travel
Details
Charter Derby to
Broome
Bus Broome to
Kununurra
Flight from
Cairns to Darwin
Total = 3
Travel
costs
900.00
Accomm/per
night
80.00
Meals/
day
50.00
120.00
400.00
80.00
50.00
120.00
360.00
80.00
50.00
120.00
$ 1,660.00
$240.00
$150.00
$360.00
Total costs required from NAILSMA/TSCRC =
Course costs
$2,410.00
MILESTONE REPORT
The report will detail:
•
•
•
•
•
Why was the study undertaken?
What did the group want to get out the study?
How does the group intend on using their new skills and where?
Did the group find the study useful?
Is the group interested in undertaking further studies? If yes, then
which studies?
5
Name
Travel
Details
Total =
Total costs required from NAILSMA/TSCRC
Travel
costs
$
Accomm/per
night
$
Meals/day
$
Course costs
$
$
6