William Rubensohn Foundation NAISDA Scholarship Application Form

Clearly Outline Your Need For This Bursary
The William Rubensohn Foundation has stipulated that bursaries be directed towards motivated, committed and in-need Developing Artists. Please use this section to demonstrate these criterion. Please explain why your circumstances are deserving of this bursary. Bursary funds are extremely limited and are awarded on a competitive basis – your detailed information will assist the Selection Committee in making an appropriate decision.*
You may like to include details of how and why the bursary will assist your: • Training and living expenses • Transport costs, including personal running of a car or public transport • Family responsibilities (if any) • Other financial commitments

Employment Information
Are you currently employed in casual or weekend work?*
- Yes
- No
If yes, please provide employer contact details below:
First Name Last Name
Employer's Email Address:
If no, do you intend to seek working during term time?
- Yes
- No
Please detail the job positions you are targeting and outline the steps you are taking to achieve your employment goals:

For Applicants Under 18
If under 18, please provide contact details or your parents or primary carer:
First Name Last Name
Mobile Number:
Parent/Guardian Approval
I consent to this application.
Todays Date*
DD slash MM slash YYYY
Further Information
Is there any further information you would like to provide in support of this application?

Declaration
Terms and Conditions*
- Select All
- I declare that the information supplied is complete and correct. I authorise NAISDA to obtain from relevant agencies, at any time, information pertinent to determining eligibility for this bursary.
- I understand that I must notify the NAISDA of any changes to this information, within 14 days of a change occurring.
- I agree to abide by the conditions of the bursary. I am aware that there are penalties for providing false or misleading information.
Your Name:*
First Last
Date
MM slash DD slash YYYY

Your Details