Mary Radcliffe-Taylor Bequest Application

To learn more about the Bequest application and process, please view the Bequest document available here.

Personal Details

Full Name *

Membership Number *

Current Guiding Role *

Date of Birth *

Email Address *

Phone Number *

Address *

Street address *

City *

State *

Postcode *

Funds Requested

Fees and books (Up to $3,000 for the duration of study) *

Please explain what the money will be used for *

Living away from home allowance (Up to $3,000 for the duration of study) *

Please give details of your accommodation during your study *

Total Sum requested (Up to $6,000 for the duration of study)

Study Details

Tertiary Course *

Name of Institution *

Are you enrolled/ accepted on the course? *

YesNo

Length of course (Years) *

Start date *

End date *

Please Provide Evidence of Enrolment/Acceptance *

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Details of Referee 1

Name *

Relationship *

Email *

Mobile Number *

Details of Referee 2

Name *

Relationship *

Email *

Mobile Number *

Why have you chosen this course of study? *

Please outline how you will stay involved in Guiding during your studies *

How do you think your Guiding background will influence your future? *

How will you balance study, Guiding and other work, social or leisure activities? *

Girl Guides Australia (GGA) and the State Girl Guide Organisations (SGGOs) (collectively known as Girl Guides in Australia) are bound by Australian Privacy Laws, recognise the importance of privacy and are committed to protecting personal information. For information on how your information is collected, used or disclosed please refer to the collection statement.

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