Page 1 - 2025 City of Logan Tertiary Education Bursary

Applicant Details (Not Applicable)

Applicant Name *

Title	First name	Last name

Date of Birth *

Must be a date.

Phone Number *

Email *

Must be a valid email address

Address *

Address line 1

Address line 2

Suburb	State	Postcode

Postal Address (if different from above)

Address line 1

Address line 2

Suburb	State	Postcode

High School Attended *

Names of Referees who have provided written references (Not Applicable)

Name of Referee 1 *

Relationship to Applicant *

Attach Reference 1 *

Attach a file:

Name of Referee 2 *

Relationship to Applicant *

Attach Reference 2 *

Attach a file:

QTAC Preferences (Not Applicable)

Preference 1: Course *

University: *

Preference 2: Course *

University *

Have you been offered a guaranteed place or early admission to a Queensland University? *

Response required.

Yes

No

Clear

If yes, please provide Course and University details

Summary of Educational Highlights (Not Applicable)

Have you been selected to represent your high school in an official position *

Response required.

Yes

No

Clear

If yes, please provide details

School captain, Sports Captain, Prefect etc

Have you represented your school in an academic, sporting or cultural capacity? *

Response required.

Yes

No

Clear

If yes, please provide details

mathematics competition, district sports, band competition etc

Have you been recognised for educational achievements during year 11 or year 12? *

Response required.

Yes

No

Clear

If yes, please provide details

Written Statements (Not Applicable)

Why do you want to pursue tertiary studies? *

Word count:

Must be no more than 300 words.

What do you hope to achieve when you finish your degree? *

Word count:

Must be no more than 300 words.

Are there financial constraints that will affect your ability to pursue tertiary studies? *

Response required.

Yes

No

Clear

If yes, please provide detail

Word count:

Must be no more than 300 words.

Are there any personal or social circumstances that should be taken into consideration by the Selection Panel *

Response required.

Yes

No

Clear

If yes, please provide detail

Word count:

Must be no more than 300 words.

2025 City of Logan Tertiary Education Bursary

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Application Form

Applicant Details (Not Applicable)

Names of Referees who have provided written references (Not Applicable)

QTAC Preferences (Not Applicable)

Summary of Educational Highlights (Not Applicable)

Written Statements (Not Applicable)