ࡱ> ;=:c Bbjbj 8^\^\" " 8444$f!44L444mY[o0 "ql " "PB "" > `: CARBURY SCHOLARSHIP APPLICATION FORM Closing date for applications is May 30 (each year) This Scholarship has been donated by the late Mr & Mrs EWD Carbury to assist students studying in the Bachelor of Science (Nursing) course. Selection will take into consideration the applicants family circumstances and need for financial assistance. I, (please print name) _______________________________________________, would like to apply for the above Scholarship. Write a statement giving information supporting your application. You may attach additional pages if required. __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Contact Address:___________________________________________________________________ Telephone Number/s:_______________________________________________________________ Student No: __________________________________ Signature of Student: ___________________________ Date: ____________________________ Return this form to: Associate Director, Undergraduate Studies School of Nursing, Midwifery and Paramedicine 鶹ֱ GPO Box U1987, PERTH WA 6845      INCLUDEPICTURE "cid:image001.gif@01CB45E0.1B80AE40" \* MERGEFORMATINET  SCHOOL OF NURSING, MIDWIFERY and PARAMEDICINE %)FILYZW Y Z m n    / { 9 ò{j\KKKKjj hThTCJOJQJ^JaJhTCJOJQJ^JaJ hTh5bCJOJQJ^JaJ hTh!CJOJQJ^JaJ#hTh!6CJOJQJ^JaJ&hTh5CJOJQJ\^JaJ hThCJOJQJ^JaJhThCJOJQJaJhT>*CJOJQJaJhTh>*CJOJQJaJhTh5CJOJQJaJ%YZU V W > ? ,-   Mgd5bgdgdgdgd9 ; 5 7  3 -/G+-@o   !#-M`iz̺̺ޛޛއ&hTCJOJQJ^JaJmHnHsH hy}QCJOJQJ^JaJ hTh+CJOJQJ^JaJ#hTh5b5CJOJQJ^JaJ#hTh5CJOJQJ^JaJ hThCJOJQJ^JaJ hTh5bCJOJQJ^JaJ5M{= $$Ifa$gdT gdTgd5bgdy}Q@ ^@ gd "+<=>?@ABh hThT hvhThhTOJQJhy}QOJQJhT jhTB* CJ UaJ phI}hTB* CJ aJ phI}h%jh%UhTh6CJOJQJaJ,hThCJOJQJ^JaJmHnHsH =>?@ABgdy}QgdTjkd# $$Ifl~#$ t0644 laytT6&P 1F:pT. 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