Student Scholarships2023 ACEN Student Scholarships Online Application2023 Student ScholarshipsAll questions must be completed by the applicant personally and accurately to the best of their knowledge. Take care when completing your application as only one entry will be accepted per applicant. The Application has 5 sections: Section 1: Eligibility, Section 2: Personal Details, Section 3: Placement Details, Section 4: Permission & Declaration, Section 5: Supporting DocumentationSection 1: Eligibility According to the RA locator map, are you based in an RA1-RA2 location and undertaking a placement in an RA3—RA5 location, OR, are you based in an RA3-RA5 location and undertaking a WIL placement in an RA1-RA2 location? Yes NoIs your principal place of residence in the same RA zone as your placement, according to the map? Yes NoIs the regional/remote placement located more than 60km from your term-time residence? Yes NoIs your institution a current financial members of ACEN? All applicants must be enrolled in a current ACEN financial institute member. Yes NoIs the duration of your regional or remote placement 3 weeks or more? Yes NoIs your regional or remote placement full-time (4-5 days per week)? Yes NoIs your regional or remote placement a required part of your postgraduate or undergraduate degree program - either as a specific subject or a general degree requirement? Yes NoDo you agree to provide a written and short video reflection of your regional/remote placement, should you be awarded the scholarship? Yes NoAre you willing to share your experiences with future students and/or mentor a future student? Yes NoAre you willing to provide a student voice to ACEN activities through engagement with the Awards and Scholarships Committee? This may take the form of providing a student perspective on panels and initiatives. Yes NoSection 2: Personal DetailsFirst NameLast NameEmailPhone/MobilePostal Address while attending your institutionAddress Line 1Address Line 2CityStatePost CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweInstitution name (only current financial ACEN member institutions included in list)- Select -Australian National UniversityAustralian Catholic UniversityBond UniversityCentral Queensland UniversityCharles Darwin UniversityCharles Sturt UniversityCurtin UniversityDeakin UniversityEdith Cowan UniversityFederation University AustraliaFlinders UniversityGriffith UniversityICMSJames Cook UniversityLa Trobe UniversityMacquarie UniversityMonash UniversityMurdoch UniversityNorth Metropolitan TAFEQueensland University of TechnologyRMIT UniversitySouthern Cross UniversitySwinburne University of TechnologyTorrens UniversityUniversity of AdelaideUniversity of CanberraUniversity of MelbourneUniversity of New South WalesUniversity of NewcastleThe University of Notre Dame AustraliaUniversity 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 UniversityFull and correct name of the Degree program in which you are enrolledDo you identify as part of any of the following diversity groups (please select all that apply)? Aboriginal/Torres Strait Islander people Culturally and linguistically diverse (CALD) First in Family to undertake tertiary studies LGBTIAQ+ (lesbian, gay, bi, trans, intersex, asexual, queer/questioning, and other sex/sexuality/gender diverse members of the community) Low socio economic status With a disability People with chronic health condition/s I do not identify with any of the above groups Other (please specify)If other, please specifyWhich one of the following describes your current family/individual situation? Partnered, no dependents Partnered, with dependents Single - living at home and financially dependent Single - living at home and financially independent Single - living away from home and financially independent Single - living away from home and supported financially by family Sole parentAccording to the Remoteness Area (RA) locator tool (link provided on the scholarship website page), my principal place of residence* is in *Scholarship recipients will be required to supply proof of residential address (e.g. utilities bill/bank statement) RA 1: major city RA 2: inner regional area RA 3: outer regional area RA 4: remote area RA 5: very remote area OverseasAccording to the Remoteness Area (RA) locator tool (link provided on the scholarship website page) My placement will be, or is hoped to be*, in: *Scholarship recipients will be required to supply full name/address details of placement RA 1: major city RA 2: inner regional area RA 3: outer regional area RA 4: remote area RA 5: very remote area OverseasSection 3: Placement Details (if known)Please note, whilst you may not have your placement details at the time of application, successful applicants will be required to provide placement details prior to receiving scholarship funding. Placement Organisation NamePlacement Organisation AddressAddress Line 1Address Line 2CityStatePost CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePlacement Organisation Phone NumberPlacement Organisation EmailPlacement start and end dates - it is expected that your placement will be undertaken and completed between 1 July 2023 - 30 June 2024Placement Start DatePlacement End DateAny other relevant information about your placement dates:What is the total duration of your Regional or Remote WIL placement in 2022/2023If less than 3 weeks, you are not eligible for these scholarships. 3 - 5 weeks 5 - 8 weeks 8 - 10 weeks in excess of 10 weeksWhat is the distance in kilometres from home to your Regional and Remote placement? Less than 100 km 100-500 km 500-1,000 km More than 1,000 kmSelect the option below which describes the rent you will be required to pay while on the WIL placement Double rent home and away No rent either home/placement Rent at home, unsure about rental obligations at placement Rent away only Rent home onlyWill you LOSE income while on the WIL placement? If you answered yes please explain the reason for loss of income. Your application will be void if you do not provide a reason. Yes NoIf you answered yes please explain the reason for loss of income. Your application will be void if you do not provide a reason.Will you EARN income while on the WIL placement? If you answered Yes, please explain the nature of that income. Your application will be void if you do not provide a reason Yes NoIf you answered Yes, please explain the nature of that income. Your application will be void if you do not provide a reasonWhat is the main obstacle to your undertaking a rural/remote placement? Carer commitments Financial constraints Finding a suitable placement There are no major obstacles OtherWhich professional sector will your regional/remote placement be aligned with?- Select -Health Care and Social AssistanceEducation and TrainingProfessional, Scientific and Technical ServicesFinancial and Insurance ServicesSection 4: Permission & DeclarationPermission to share details: I understand, if successful, I give my approval for the Australian Collaborative Education Network Inc. (ACEN) to forward my contact details within ACEN for the purpose of promoting the ACEN Work Integrated Learning Scholarship. I also give permission for ACEN to use my name and any photographs taken by staff of ACEN, or a photographer engaged by ACEN, to promote the scholarship through ACEN’s media and advertising strategies. I also give permission for ACEN to publish an outline of my application and placement for the purposes of promoting the ACEN Work Integrated Learning Scholarship. I understand I will be able to approve the text prior to publication. Yes No (If No your application will be void)Declaration: I declare that the information supplied on this form and in accompanying documents and statements is complete and accurate to the best of my knowledge. If any information provided is found to be false or misleading, I accept that ACEN will cancel any scholarship awarded to me on the basis of this application and require me to repay all scholarship funds received to date. I understand that the scholarship selection process is competitive and not all applicants are awarded a scholarship. I understand that the data collected in this application may be used for research purposes and that any report will not identify me in any way.I have read and accept the terms and conditions of the scholarship and the application process. Yes No (If No your application will be void)Is there any additional information we should know? Only use this if you need to expand on a previous question.Section 5: Supporting Documentation Application - please upload your 500-word synopsisChoose File Academic Transcript - please upload your most recent transcript (unofficial or official)Choose File WIL Placement - please upload evidence that the WIL placement is a requirement of the degree.Choose File Submit ApplicationQueriesFor any queries, please contact admin@acen.edu.au