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UNION
OF CATHOLIC APOSTOLATE
Application form for the
Vincent Pallotti Scholarship/Study Mr/Mrs/Ms/Other ___________ SURNAME _____________________________________ GIVEN NAME _____________________________________ ADDRESS _____________________________________ _____________________________________ POSTCODE ____________ PHONE _______________ EMAIL ____________________ OCCUPATION ____________________________________________
RELEVANT BACKGROUND / EXPERIENCE Supply a resume detailing your history and involvement with the Church and your previous social justice and community service. Demonstrate a commitment to advancing gospel values. _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ PURPOSE FOR WHICH THE AWARD IS SOUGHT The following details are required. A) Proposed study / activity. B) Total cost. C) Amount sought. D) Any other funding sought and / or received in relation to this proposed study / activity. E) Length of study / activity. F) Benefit to others. _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
Successful applicants will be required to provide a written report and be available to give a presentation to the U.A.C. at the conclusion of the course / activity. There are two rounds each year, for which applications close on the 30th April and 31st October Forward the completed application form, including names and contact details of two referees to: The
Secretary, Or by Emailing patron2@dodo.com.au
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