Student Services Centre - Scholarships Telephone: +61 8 6304 3636 Edith Cowan University City Of Joondalup Youth Award - Tertiary Education Application Form The City Of Joondalup Youth Award - Tertiary Education is open to 2nd and 3rd year students aged 18 – 25, living within the City of Joondalup boundaries and studying a relevant course to future employment within local government. The Award intends to help lessen the student debt by providing funds to assist with course fees as well as offer practical work experience. The Award includes the opportunity to begin a career in a local government department, by completing a paid work placement with the City of Joondalup for up to twelve (12) weeks. Applicant Details Student No: First Name: Surname: Mobile phone no: Email: Please ensure that your correspondence address details are updated on SIMO Are you are an Australian Citizen or an Australian Permanent Resident? Yes No - Sorry you are not eligible for this Do you reside in the City of Joondalup? Name of Suburb? Postcode? Yes No -Sorry, you are not eligible for this Are you aged 18 to 25? Age _ _ Date of Birth _ _ / _ _ / _ _ _ _ Yes No - Sorry you are not eligible for this The recipient of this award would be offered a paid work placement of up to 12 weeks at a mutually beneficial time with the City of Joondalup. Are you willing and able to commit to undertake this work placement? Yes No Please provide your current course and units completed details Cours e Bachelor of Course Code At the commencement of semester 1, 2017 - How many credit points will you have completed of your current course? How many Credit points remaining in your course