Deferred Vice Chancellors Scholarship Form

This form is intended for students that had previously been awarded a Vice Chancellors scholarship, but deferred their course offering and now wish to return and are wanting to re-apply for the scholarship.

Fields marked with are mandatory

Personal Details

Surname

Given names

Student ID

Date of Birth

Mobile

Swinburne email

Course Details

Deferred course code

Deferred course title

Intended return year

Intended return semester

Semester 1 Semester 2

Have you completed any tertiary study since you received your offer for the VCs scholarship?

Yes No

Privacy statement and applicant's declaration

Privacy statement

Swinburne University of Technology collects, uses and destroys personal information in accordance with our Privacy Policy.

Applicant's declaration

I declare to the best of my knowledge that the information entered and attached to this form is correct and complete.

I acknowledge that personal information supplied by me will be collected and used in accordance with Swinburne's privacy policy.

I also acknowledge that Swinburne University of Technology has discretion to terminate my Scholarship and to recover payment in the event that the Scholarship conditions are breached.

I understand that the University's decision is final.

I agree to the terms stated above