Application for Scholarship – Arch Campbell Memorial Scholarship "*" indicates required fields Before you complete this form you will need to scan and save the following important documents in PDF format: Completed and signed Statement of Financial Position Two most recent school reports Most recent NAPLAN or other standardised test results Any specialist reports Birth certificate Hand-written letter by the applicant to the Principal, outlining why they would like to become part of the Christ Church community A character reference by a person (not related) who has known the student over time If born overseas, your child’s Permanent Residency or citizenship papers Any family court or parenting papers Please note that incomplete applications will not be accepted and that all applicants are required to be an Australian Citizen or Permanent Resident.Student detailsAcademic year of entry you are seeking* Year 7 Entry year*2027Attendance type* Day student Boarder Student first name*Student preferred first name*Student middle name/sStudent surname*Date of birth* DD slash MM slash YYYY Country of birth*Scanned copy of birth certificate*Max. file size: 384 MB. Scanned copy of Australian Citizenship/Permanent Residency*Max. file size: 384 MB. Current school*School reports (last two reports required)* Drop files here or Select files Max. file size: 384 MB. NAPLAN results* Drop files here or Select files Max. file size: 384 MB. Letter to the Principal*Hand-written letter by the applicant to the Principal, outlining their strengths and why they would like to become part of the Christ Church community. Drop files here or Select files Max. file size: 384 MB. Character reference*A character reference by a person (not related) who has known the student over time. Drop files here or Select files Max. file size: 384 MB. Language spoken at home* English Other Is the student of Aboriginal or Torres Strait Islander origin?* Yes No Contact detailsBoys' primary residential address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Postal Address Postal address same as home address Postal Address Street Address/Post Box Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent/Guardian detailsParent / Guardian 1 Details* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Name Surname Relationship to Student*Occupation*Company*Mobile*Work PhoneHome Email* Work Email* Preferred Email* Home Work Do you live at the same address as your son?* Yes No If no, what is your residential address?*Are you a single parent/guardian Single Parent Two Parents Unless you have sole custody of your son, both parents must submit their details to confirm they are in agreement with their son being registered at Christ Church.Parent / Guardian 2 Details* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Name Surname Relationship to Applicant*Occupation*Company*Mobile*Work PhoneHome Email* Work Email* Preferred Email* Work Home Do you live at the same residential address as your son?* Yes No If not, please advise your residential address below*Family circumstancesDo you have sole custody of your son?* Yes No Court OrdersShould there be any court order in relation to access/custody of your son, please attach here. Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 384 MB. Is a parenting or restraint order applicable Yes No Parent/Restraint Order AttachmentMax. file size: 384 MB. Other conditions/or details on family circumstancesPlease provide any other conditions enforced by law.Family detailsDo you have other sons registered or enrolled at the School? Yes No Name of son registered or currently attending Christ ChurchFamily connection to the SchoolDo you have a family connection to the School?* Yes No Family member's name*What is their connection to Christ Church?*Special needsDoes your son have educational challenges such as giftedness or learning difficulties, hearing or vision impairment?* Yes No Details*Does your son have a diagnosed intellectual disability and you wish him to be considered for support through our Peter Moyes Centre (PMC).* Yes No Specialist reportsPlease upload your son's latest specialist reports here. Drop files here or Select files Max. file size: 384 MB. How did you hear about this scholarship?* Word of mouth Family connection School website Newspaper advertisement Radio advertisement Facebook/Instagram Admissions office advice Other Which newspaper?Please specify:DeclarationStatement of Financial Position (completed and signed)* Drop files here or Select files Max. file size: 384 MB. Click here to download Statement of Financial Position.Should my son’s educational or health circumstances change between date of application and entry to the School, I/we will inform the School. We are aware that failure to do so may jeopardise my son's enrolment.* Should my son’s educational or health circumstances change between date of application and entry to the School, I/we will inform the School. We are aware that failure to do so may jeopardise my son's enrolment. I / We understand and accept that: By clicking the box immediately below I am confirming that all information I have provided to the School is correct and current.* I / We understand and accept that: By clicking the box immediately below I am confirming that all information I have provided to the School is correct and current. I / We confirm we have read and accept the School’s Terms and Conditions of Enrolment and Privacy Policy.* I / We confirm we have read and accept the School’s Terms and Conditions of Enrolment and Privacy Policy. I would like my son to also be considered for the Matthew Carulli Scholarship* Yes No Please be aware that the submission process may take a minute or longer. Kindly remain on this page until you receive the confirmation message.
