SECTION C – Applicants Statement
Please tell us in your own words what the learner driver program would mean to you?
Are there any other special circumstances that you haven’t mentioned?
Section D – Applicant Declaration
Note: this section must be completed by the applicant or a parent or guardian if applicant is under 16 years.
Provision of Personal Information
Release of details for Publicity
There may be situations where your personal details cannot be released to the public. Consent to publicity and/or public release of personal details in the media is voluntary and will not affect the assessment of applications.
If I win the Learner Driver Program, I give permission for Pacific Link to use and release my first name (second name only with written consent) and a description of the Learner Driver Program along with my success story for publicity purposes.
If I win the Learner Driver Program, I give permission for Pacific Link to use any photographs of me (e.g. from presentation ceremonies) for publicity purposes.
Students who are 16 years of age or older at the time of this application, may sign this declaration.
Where a student is under 16 years of age, this form must be signed by the student’s parent or guardian.
GUIDELINES TO COMPLETING THE APPLICATION FORM
Section A - Applicant details (compulsory information)
In this section, fill in the full details of the person applying for the Learner Driver Program. Full details are required as
incomplete forms may not be considered any further.
Date of birth – Fill in your date of birth. If you are aged under 16 years, please include the name and contact details of your parent/guardian.
Australian citizen/permanent resident – You must be an Australian citizen or permanent resident to be eligible for the Pacific Link Scholarship.
Section B - Additional Applicant Information (optional information) Please indicate if you:
- are Aboriginal and/or Torres Strait Islander
- are from a language background other than English
- have a disability
You may like to tell us about any previous awards you have received. This will provide us with further background
Section C – Applicant’s Statement (compulsory information)
Completing the statement – You, the learner driver, must complete the questions describing how you would benefit from
receiving the Learner Driver Program.
Space is provided on the application form to write your statement. Provide enough information in this section to fully answer each question. This is the information we will use to assess your application.
Section D – Applicant’s Declaration (compulsory information)
Provision of personal information – It is compulsory for you, the learner driver, to certify that the personal information
provided in the application form is correct. If this is not acknowledged, the application may not be considered any further.
Provision of personal information to administer and disburse learner driver program funds – It is compulsory for you, the learner driver, to acknowledge that information from the application form (including personal details) will be collected, used and disclosed by Pacific Link Housing only for the purpose of assessing the application and administering funds for successful applicants. If this is not acknowledged, the application may not be considered any further.
Release of details for publicity – There may be personal situations where a learner driver’s details cannot be released to the public. Consent to publicity and/or public release of personal details in the media is optional and will not affect the assessment of the application.
Signature – If you are 16 years old or over (at the time of the application), you must sign the declaration. If you are under 16 years (at the time of the application), your parent/guardian must sign the form.