Online Form - Bush Adventure Scholarship Application

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Introduction
Contact Details
Camp Questions
Permission
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Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Contact Details

Applicants Full Name *

Date of Birth *

Residential Address

Street Address:

City:

State:

Post Code:

Country:

Contact Phone Number *

Participant Email *

Parent/Guardian Name *

Parent/Guardian Contact Phone Number *

Parent/Guardian Email Address *

School/Educational Institution/Place of Employment *

Cultural Identity

Do you have a physical or intellectual disability? *

If yes to the previous question please outline below.

Camp Questions

All successful applicants will be given a Bush Adventure Camp Shirt. Please indicate your preferred size *

How did you hear about the Bush Adventure Scholarship Program *

Why do you wish to be a part of the Bush Adventure Learning Camp? *

Please explain what the Bush Camp would mean to you if you were successful *

What are your hobbies/interests out of school or work? *

Permission

By selecting yes - you declare that all information provided in this form is true and correct and that the parent/guardian is fully supportive and aware of the application. All applicants and the parents will be contacted and spoken to as part of the selection process. *

YesNo Parental Permission is not available - please contact me for assistance

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Online Form - Bush Adventure Scholarship Application

Navigation

Introduction

Contact Details

Camp Questions

Permission

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