Yanburi Program Application Form

PERSONAL DETAILS:
STUDENT NUMBER (if known):
YOUR NAME:*
FIRST NAME: LAST NAME:
GENDER:*
- MALE
- FEMALE
DATE OF BIRTH:*
ADDRESS:
EMAIL ADDRESS:*
PHONE NUMBER:*
COURSE INFORMATION:
To be eligible for a Yanburi Scholarship you must be studying a higher education course at University in Western Australia. Also you must be a Wajarri Yamaji person and provide proof of academic enrolment and previous term success. Please indicate the program and which University you will be studying with for 2019:
PROGRAM:*
UNIVERSITY:*
ARE YOU A CONTINUING STUDENT?
- Yes
- No
Hidden
CONTINUING STUDENTS
Course Results
Drop files here or

Accepted file types: pdf, jpg, doc, docx, Max. file size: 10 MB.
Please upload course results for your previous term/semester. You can upload a PDF, JPEG or Microsoft Word document.
FIRST YEAR STUDENTS
ARE YOU A RECENT SCHOOL LEAVER?
- Yes
- No
Hidden
If yes, Please indicate name of school attended and the year of completion
Are you entering your course via ATAR (please specify score), Bridging Course of TAFE qualification:
Please upload certificate of transcript. You can upload a PDF, JPEG or Microsoft Word document.
Drop files here or

Accepted file types: pdf, jpg, doc, docx, Max. file size: 10 MB.
Are you a Wajarri Yamaji person?*
- Yes
- No
- Unsure
If you answered No to the above question you are not eligible for the Yanburi Scholarship.
MOTHER:
MATERNAL GRANDFATHER:
MATERNAL GRANDMOTHER:
FATHER:
PATERNAL GRANDFATHER:
PATERNAL GRANDMOTHER:
For any application enquiries please contact the office on 08 9997 3444 or email members@wajarri.com.au

Yanburi Program Application Form

PERSONAL DETAILS:

COURSE INFORMATION:

CONTINUING STUDENTS

FIRST YEAR STUDENTS

Members

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