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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.
Forward the completed application form, including names and contact details of two referees by 31st March 2009 to UAC Executive Officer
85 Studley Park Road
Tel. 0419 414 510
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