Koori Curriculum Club Scholarship Application
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1.
Full Name
(Required.)
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2.
Email Address
(Required.)
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3.
Phone Number (include area code)
(Required.)
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4.
Employer/Service Company Name
(Required.)
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5.
Company Address
(Required.)
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6.
Does your service support vulnerable or disadvantaged communities?
(Required.)
Yes
No
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7.
Explain how your service supports vulnerable or disadvantaged communities
(Required.)
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8.
Are you Aboriginal or Torres Strait Islander?
(Required.)
Yes
No
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9.
Is your service/employer an Aboriginal specific service?
(Required.)
Yes
No
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10.
Why do you want to join the Koori Curriculum Club?
(Required.)
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11.
What are your main goals?
(Required.)
