The Gilchrist Foundation | » Nominate a Student

Your Name*

First Last

Your Preferred Phone*

Your Email

Name of Nominated Person*

First Middle Last

Date of Birth*

Address of Nominated Person*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Criteria of Disadvantage. Applicants for Gilchrist Foundation Tertiary Studies (University or TAFE) Scholarships must first meet at least one of the following criteria of disadvantage. Please mark any criterion which applies to the person you are nominating.*

Description of "Other" Disadvantage

Your Connection with the Nominee. Please carefully describe your relationship with the nominee. How do you know this person?*

Supporting Material. Please outline any additional information as to why you believe this person may meet Gilchrist Foundation Tertiary Scholarship criteria. Nominate (with contact details) any other person who would be willing to support your nomination. (Optional but may be helpful).

Nominate a Student for the Gilchrist Foundation