Application Form - 2017 Elderton Winemaking Exellence Scholarship Grant

Elderton Winemaking Excellence Scholarship Application Form

Application Deadline - May 31, 2017
Read and follow the instructions carefully prior to submitting your application.

Please read the eligibility criteria for the scholarship you are applying for prior to sumitting your application.

All details regarding each scholarship can be found on the Foundation Barossa website.

All applicants must be available for interview in the first or second week of June.

All applicants will be notified on or before the 30th June, 2017.
If selected, you will be asked for documentation to support the data you provide, each scholarship may require different information or have different requirements for selection. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalisation and punctuation.
If applying for more than one scholarship you will need to complete individual applications for each scholarship.
I have read and understood the instructions. *

Yes, I have
Scholarship applying for:

Elderton Winemaking Excellence Scholarship
I. Personal Data:

Tell us about yourself
Full Name *

First Name Last Name
Birthdate: *

Day Month Year
Gender:

Male Female Non-specific
Do you have a disability?

Yes No
Contact No. :

- Area Code Phone Number
E-mail : *
Where the confirmation will be send to

Home Address : *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Status at the time of application: *

I am currently enrolled in Bachelor of Oenology at the University of Adelaide I am currently enrolled in Bachelor of Wine Science at Charles Sturt University I am currently enrolled in Bachelor of Oenology at another Australian university Other option

Employment *

Company
Position
Length of employment	Hours worked per week
Contact number	Country

BAROSSA CONNECTION
Do you currently live in the Barossa Region? *

Yes No
Barossa family connections

One or both of my parents has worked in the Barossa within the wine industry One or both of my parents has worked in the Barossa region outside of the wine industry Neither of my parents has worked in the Barossa region
Please detail your family connection with the Barossa
Please detail your involvement in the Barossa Community *
FINANCIAL INFORMATION
Are you currently receiving or have you previously been awarded an education based scholarship? *

Yes No
If yes, please outline details of the scholarship(s) received
Please demonstrate your financial need for a scholarship from Foundation Barossa *
II. Education history:
Please attach a copy of your High School academic results *
Please attach a copy of your most recent University academic results or enrolment confirmation if in 1st year. *
Have you completed any other formal education?

Yes No
Please attach a copy of any other academic results
FUTURE CAREER PLANS
To be eligible for scholarship you must demonstate your interest in further education or employment in the wine industry. If you are successful in reaching the interview stage for a scholarship evidence of current enrolment must be provided to the committee.
Plans for further education *

Post-graduate University - South Australia based Post-graduate University - outside South Australia None
Please outline your proposed career path following university: *

0/500
Are you interested and willing to undertake a paid position during a vintage season in the coming 12 months at Elderton?

Yes No
III. References & resume:
Two referees are preferred by the panel and must be provided if you reach the interview stage. At least one referee must be provided to complete your application.
Referee 1: *

First Name Last Name
E-mail *
Phone Number *

- Area Code Phone Number
Referee 2:

First Name Last Name
E-mail
Phone Number

- Area Code Phone Number
Attach a copy of your current resume *
IV. Cover letter
Your cover letter should be 300-500 words. You should address in your letter: your career goals and choice of major, what you intend to do with your education, and why this particular scholarship, in winemaking excellence, is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.
Cover letter: *

0/500
V. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature: *
Should be Empty:

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Elderton Winemaking Excellence Scholarship Application Form

I. Personal Data:

II. Education history:

III. References & resume:

IV. Cover letter

V. Applicant's E-Signature