Christopher Wise Education Scholarship Form

To submit an application, please fill in below. Remember, it is better to be as detailed as possible to give yourself the best chance!

GENERAL INFORMATION

What is the Christopher Wise Scholarship?
The Christopher Wise Scholarship is awarded to members between the ages of 5-18 years, providing financial assistance for academic support throughout primary, secondary or tertiary education.

Funds can be used for academic support including tuition, special courses, or for extra-curricular activities such as music or sporting lessons. Applications are due at the end of Terms 1 and 3 each year.

Who can apply?
To apply for the Christopher Wise Education Scholarship, the applicant must:
– Be a Challenge member who has been diagnosed with cancer or a life-threatening blood disorder
– Be aged between 5 and 18 years inclusive
– Be planning to commence or continue primary/secondary/tertiary education in the year you apply
– Not have previously been awarded the Christopher Wise Education Scholarship.

You can continue to apply for this scholarship until the applicant no longer meets the criteria.

CONFIDENTIALITY
All information contained within this application will remain strictly confidential.
Personal Information
Applicant Full Name*
First Last
Date of Birth*
DD slash MM slash YYYY
Gender
Address*
Street Address Address Line 2 Suburb State / Province / Region ZIP / Postal Code Country
Contact Email*
Does your family primarily speak a language other than English in the home?*
- Yes
- No
If yes, what language does your family speak?

Personal Information