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If you have any queries, please call 4254 1166 or email TWES@housingtrust.org.au

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* 1. Name 

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* 2. Address 

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* 3. Email 

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* 4. Mobile number

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* 5. Are you a parent/guardian/carer completing this application for someone else?

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* 6. If you answered yes, please state your relationship with the person you are applying for and their name. If not, answer the questions as yourself

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* 7. Date of birth 

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* 8. Identified gender 

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* 9. Are you Aboriginal or Torres Strait Islander?

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* 10. Is English your second language? If so, what is your first language?

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* 11. What year at school, course, training, or work do you plan on participating in 2021?

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* 12. Life experiences can have an impact on ability to study, train, or gain employment. Please tick all disadvantages that apply 

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* 13. What are your short term goals?

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* 14. What are your long term career goals?

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* 15. What items may you need assistance with in 2021? Please list all that apply to you.

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* 16. If successful in obtaining a scholarship, do you agree the terms outlined in the  Housing Trust Tylah West Education Scholarship Guidelines 2021?

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