1. INTERNATIONAL SCHOLARSHIP APPLICATION FORM
Prospective scholarship applicants must complete the form below and include ALL relevant information requested
with this application
Section 1 - Student Details
Family name:
First name:
Date of birth:
/
/
La Trobe ID:
Email address:
Telephone / Mobile:
Citizenship country:
Country of application:
Section 2 - Agent Details (if applicable)
Agent Name:
City:
Counsellor Name:
Section 3 - Course Details
Principal course at La Trobe University
Full course title: Campus:
Commencement date:
/
/
Course duration:
(inc. any Advanced Standing)
ELICOS course to be undertaken at La Trobe Melbourne (for ELICOS scholarship applicants only)
Number of ELICOS weeks awarded:
Commencement date at La Trobe Melbourne:
/
/
Section 4 - Scholarship Details
Please list the scholarship you are apply for:
Section 5 - Completed Qualifications
Please list all qualifications below including any current studies you are awaiting final results for. Please note that if you
are applying for an Academic Execellence Scholarship, only students with a minimum 85% (or of an equivalent standard
in other scoring methods) in their last, completed qualification are eligible to apply.
Name of Qualification/s (High
School, undergraduate or
postgraduate degree
Years of Study
(eg. 2007 - 2009)
Average marks obtained (in
percentage if possible)
Name of School/College/
University
Submission of Application
• Please e-mail your application along with your La Trobe University offer letter to intapplication@latrobe.edu.au and
write “Application for International Scholarship” in the subject of your e-mail.
• Applications received after the deadline date (close of business) for those scholarships with deadlines will not be
considered.
• Deadlines and further scholarship details can be found at: www.latrobe.edu.au/international/fees/scholarships
• Please do not contact La Trobe International with regards to your scholarship application once lodged. All
successful and unsuccessful applicants will be contacted in due course.
CRICOS Provider 00115M