2019 Annual Review Form This form must be completed by Monday 13 January 2020. For any questions or concerns, contact the AVCAT team on (02) 9213 7999 or firstname.lastname@example.org. AVCAT Annual Review 2019 Step 1 of 7 0% The purpose of this form is to: - review your progress over the past six months - detail any plans you may have to defer full time studies or change your course - update your personal details For payments to continue, all relevant sections of the Annual Review Form must be completed and any supporting documentation uploaded by Monday the 13th of January 2020. Failure to complete the review by the due date may result in your payments being delayed or suspended. For any questions or concerns, contact the AVCAT team on (02) 9213 7999 or email@example.com. Please note: your name must be clearly stated on all uploaded supporting documentation. Please ensure all images are of a high resolution so that we can easily read them. Section 1: Personal DetailsTitle*MrMrsMsMxMissFirst Name*Last Name*Preferred NameGender*MaleFemaleNon-binaryNot SpecifiedDate of Birth*Email* Please use the email address that we sent your Annual review to. Remember that this email address is your identifier for communications with AVCAT. Please do not use the same email address as any other AVCAT recipient (for example, a family member).Mobile Phone*Home PhoneSemester Mailing Address *(Semester Mailing Address) Address Line 1*Street Address (Semester Mailing Address)Suburb*Suburb(Semester Mailing Address) State*State ACTNSWVICNTSATASWAQLD(Semester Mailing Address) Postcode*PostcodeIs your home address the same as your semester address?*YesNoHome Address *(Home Address) Address Line 1*Street Address (Home Address) Home Suburb*Home Suburb(Home Address) Home State*Home State ACTNSWVICNTSATASWAQLD(Home Address) Postcode*PostcodeBank Account Details **Bank Account Name *BSB Number*BSB Number **Bank Account Number *Are these bank account details different from those you provided previously?*YesNoSecondary Contact Details **Relationship to Student Please SelectFriendGrandparentGuardianParentPartnerSiblingStep Parent(Secondary Contact) First Name*First Name(Secondary Contact) Last Name*Last Name(Secondary Contact) Mobile Number*Mobile Number(Secondary Contact) Phone NumberPhone NumberEmail Save and Continue Later Section 2: Academic ProgressFor your scholarship to continue or be restarted after a period of deferment, AVCAT needs evidence of your academic progress.Did you study last semester?*YesNoNote: You will need to upload your academic transcript for the previous semester in the Supporting Documentation Section.What were your semester results?*If your results for any unit are listed as ‘incomplete’ or ‘not assessed’ or changes are expected, please provide details below.If you did not make satisfactory academic progress (received below 50% in a unit of study), please detail the reasons why this occurred and how you plan to improve your progress in the following semester.Have you received any academic merits or commendations during the last semester? Save and Continue Later Section 3: Enrolment DetailsFor payments to continue, AVCAT needs evidence of your continuing full-time enrolment. Select the option which describes your study plans for the next semester:*Full-Time StudyPart-Time StudyDeferring SemesterGraduatedNo longer studyingOtherNote: You will need to upload your Enrolment Certificate in the Supporting Documentation Section. Please provide details why you are undertaking part-time study.*Please note that it is a condition of your scholarship to be enrolled in full-time study. Any alteration to this requires AVCAT approval.Have you notified AVCAT of this change, and if so, when?*On what basis are you enrolled?*SemesterTrimesterWhat is your current course?*e.g. Bachelor of Arts.What is your current level of study?*Certificate 1Certificate 2Certificate 3Certificate 4DiplomaAdvanced Diploma or Associates DegreeBachelors DegreeHonours DegreeGraduate Certificate/DiplomaMasters DegreeDoctoral DegreePlease select your current institution*Australian Catholic UniversityAustralian National UniversityBond UniversityCentral Queensland UniversityCharles Darwin UniversityCharles Sturt UniversityCurtin UniversityDeakin UniversityEdith Cowan UniversityFederation UniversityFlinders UniversityGriffith UniversityJames Cook UniversityLa Trobe UniversityMacquarie UniversityMonash UniversityMurdoch UniversityQueensland University of TechnologyRMIT UniversitySouthern Cross UniversitySwinburne University of TechnologyTAFE ACTTAFE NSWTAFE NTTAFE QLDTAFE SATAFE TASTAFE VICTAFE WATorrens UniversityUniversity of AdelaideUniversity of CanberraUniversity of DivinityUniversity of MelbourneUniversity of New EnglandUniversity of New South WalesUniversity of NewcastleUniversity of Notre DameUniversity of QueenslandUniversity of South AustraliaUniversity of Southern QueenslandUniversity of SydneyUniversity of TasmaniaUniversity of Technology SydneyUniversity of the Sunshine CoastUniversity of Western AustraliaUniversity of WollongongVictoria UniversityWestern Sydney UniversityOtherPlease specify your current institution*What is your current year of study?*1st2nd3rd4th5th6thPlease note that any deferral must be approved by AVCAT in order for your scholarship to continue. If you receive payments to which you are not entitled, these are to be repaid to AVCAT within 10 days. If you fail to respond to AVCAT’s requests for information it requires to administer my scholarship, or knowingly provide misleading information, my scholarship may be terminated.Please provide details why you are deferring your studies:*Please provide your start and anticipated end date of your deferral:*What is your current completion date?*Choose the date that is closest to your completion date.2019 December2020 June2020 December2021 June2021 December2022 June2022 December2023 June2023 December2024 June2024 December2025 June2025 DecemberAre you enrolled concurrently at another institution?*YesNoPlease give details about your concurrent enrolment at another institution.*If you have changed your course since last Semester, please provide details.Please note that course alterations require the prior approval of AVCAT for payments to continue.Note: Payments will cease if you graduate from your AVCAT approved course.Note: Payments will cease if you discontinue your AVCAT approved course. Please give details why you have decided to discontinue your course:*Please give details:*If your scholarship ends this year but you have not finished your study, please tick if you wish to be considered for an extension to your scholarship. You need to provide a letter to your sponsor explaining why you should be considered for an extension to your scholarship. The decision will be made by your sponsor not AVCAT. AVCAT cannot guarantee any extension to your scholarship. YesNo Save and Continue Later Section 4: Financial CircumstancesNot Applicable. Click 'Next'Section 4: Financial CircumstancesWill you be receiving an educational payment for the next semester? (e.g. Youth Allowance, VCES, Austudy)*YesNoWhich educational payment do you receive?*Please SelectYouth AllowanceVCESNewstartAbstudyAustudyCarers PaymentDisability PensionOtherNote: You will need to upload a letter from Centrelink or The Department of Veteran’s Affairs (VCES) confirming your payment in the Supporting Documentation section. Please advise if your financial circumstances, or those of your parents, partner or spouse have changed significantly since your last review?*Please specify:*Please provide details below:*Please note that it is a condition of your scholarship that you remain eligible for a means-tested educational payment.Will you be receiving any other financial assistance with your studies from Government, charitable organisations or educational institutions?* Scholarships which pay tuition or HELP fees direct to the educational establishment or ATO need not be included. YesNoPlease provide details below:* Save and Continue Later Section 5: Sponsor Progress ReportNot Applicable. Click 'Next'Section 5: Sponsor Progress Report You are required to upload a Thank You Letter for your sponsor. This letter should detail how the scholarship has assisted you, your general academic and personal progress, and provide information about any notable achievements or areas of improvement you hope to work on. Please address this letter directly to your sponsor (e.g. Legacy Australia, RSL Chatswood). If you are unsure of the name of your sponsor, please contact AVCAT. You will need to upload this letter (in word format only) in the Supporting Documentation Section. Save and Continue Later Section 6: Supporting DocumentationPlease Note: We must be able to see your name printed as part of any documentation uploaded. This is to confirm your ownership of the document.Compulsory DocumentationAcademic Transcript for previous six months of study* o Unofficial Academic Transcripts are accepted. These are provided at no cost through your Student Services Department or online through your student portal. o Please note that screenshots of your grades are not accepted. Academic Transcript for previous six months of study o Unofficial Academic Transcripts are accepted. These are provided at no cost through your Student Services Department or online through your student portal. o Please note that screenshots of your grades are not accepted. Enrolment Certificate for the next six-month period* o Available at no cost through your Student Services Department or online through your student portal. o Please note that course acceptance letters, timetables and student cards are not accepted. Enrolment Certificate for the next six-month period o Available at no cost through your Student Services Department or online through your student portal. o Please note that course acceptance letters, timetables and student cards are not accepted. Proof of government means-tested educational payment* o For example, a current letter from Centrelink detailing your payment. If unavailable a recent copy of your bank statement identifying a Centrelink or DVA payment is acceptable (your name must be clearly printed on the statement). Proof of government means-tested educational payment o For example, a current letter from Centrelink detailing your payment. If unavailable a recent copy of your bank statement identifying a Centrelink or DVA payment is acceptable (your name must be clearly printed on the statement). Thank you note to sponsor* o This note must be in word format only. Please address this letter to your sponsor directly (for example, Legacy Australia, RSL Chatswood). Accepted file types: doc, docx, docm, dotx, dotm.Thank you note to sponsor o This note must be in word format only. Please address this letter to your sponsor directly (for example, Legacy Australia, RSL Chatswood). Accepted file types: doc, docx, docm, dotx, dotm.Documentation required if applicableSupporting letter for scholarship extension (if applicable) o This note must be in word format only. Academic merits or commendations (if applicable)Evidence to support unsatisfactory progress (if applicable) o e.g. certificate from health care professional, letter from university or college. Evidence to support deferral (if applicable) o e.g. certificate from health care professional, letter from university or college. Save and Continue Later Section 7: Recipient StatementI,* - certify that the information given in this document is correct to the best of my knowledge - undertake that, if I am continuing with my scholarship, to disclose to AVCAT within 30 days of any further changes to my full-time enrolment status, course plans, financial or other relevant circumstances and contact details - authorise AVCAT to make whatever enquiries it deems necessary with educational authorities, government agencies or others, to determine the continuing eligibility for a scholarship - acknowledge that, if I receive payments to which I am not entitled, these are to be repaid to AVCAT within 10 days. If I fail to respond to AVCAT’s requests for information it requires to administer my scholarship, or knowingly provide misleading information, my scholarship may be terminated. Signature*Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Are you human?CommentsThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms. 2021 Applications open 18 August 2020 close 31 October 2020 at 5 pm AEDT. 2020 Scholarships announced by the end of February 2020.