FEIT Student Financial Assessment form 2021
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
FEIT Student Financial Assessment form 2021
Form Preview
Information about this form
This form is used to assess financial need when applying for FEIT scholarships.
You can submit the form at any time before the closing date for the relevant scholarship.
FAQs
Q. I have previously submitted this online form. Do I need to submit another one?
A. That depends:
•
• If your income or expenses have changed - YES, you should submit a new form
• If nothing has changed - NO, you don't need to submit a new form.
• If you have not submitted the form in THIS ACADEMIC YEAR - YES, you should
submit a new form. Last year's forms are archived.
For any questions about this form, please email FEIT's scholarships team at engit-
scholarships@unimelb.edu.au
Privacy Notice
The collection of personal information by the University of Melbourne (University) is
governed by the Privacy and Data Protection Act 2014 (Vic) and Health Records Act 2000
(Vic) (together, Privacy Laws). The University is also considered to be a data controller for
the purposes of the EU General Data Protection Regulation 2016/679 (GDPR) in relation to
the collection of personal information from individuals located in the European Union (EU),
while conducting certain activities. The University is committed to protecting your privacy
and processing your personal information fairly and lawfully in compliance with the Privacy
Laws and the GDPR, as applicable.
The information on this form is being collected by the Faculty of Engineering and
Information Technology for the purposes of administering this scholarship, including
selection, awarding and reporting requirements. The information you provide will be used by
members of the scholarship selection committee and may be shared with the donors of the
award. We will not disclose your personal information to anybody else unless you have given
consent, or we are authorised or required to do so by law.
The University stores personal information in both electronic and paper based form and
does not segregate or treat personal information differently based on your geographical
location. The University takes all reasonable steps to ensure that the information we hold
is accurate and complete, and that we implement and maintain appropriate technical and
organisational security measures to protect personal information transmitted, stored or
otherwise processed, from accidental or unlawful destruction, misuse, loss, alteration,
unauthorised access or disclosure.
We will retain your personal information only for as long as required for the purpose it was
collected and in accordance with our legislative obligations. This information is then securely
destroyed in accordance with the University’s retention and disposal authority.
Page 1 of 6FEIT Student Financial Assessment form 2021
Form Preview
You may request access to, or correction of, information we hold about you, or exercise
rights of access, rectification, erasure and other rights under the GDPR, at any time. Please
refer to our Privacy webpage for information on how to contact us about privacy, how to
lodge a complaint and for the contact details of the University’s Privacy and Data Protection
Officer.
Personal Details
* indicates a required field
Name *
Title First Name Last Name
Student ID *
Must be a number.
Email *
Must be an email address.
Your UniMelb email address is preferred
Current address while studying
Address
Any, but at least one field is required.
Which option best describes your current living arrangements? *
☐ Living at home with parent(s)
☐ Living separately from family but in a property owned by a family member
☐ Living with another family member (excluding siblings)
☐ Rental property - shared
☐ Rental property - single
☐ Property which you own (including paying off a mortgage)
☐ Residential College
No more than 1 choice may be selected.
EXPENSES
* indicates a required field
Weekly Expenses
Enter in the amounts you spend EACH WEEK:
Page 2 of 6FEIT Student Financial Assessment form 2021
Form Preview
Rent / Board *
$
Utilities (electricity, gas, telephone etc.) *
$
Food (lunches, groceries etc.) *
$
Transport (public transport, petrol, parking etc.) *
$
Spending Money (clothing, entertainment, events etc.) *
$
Other Weekly Expenses *
$
Total Weekly Expenses x 52 weeks =
$ $
This number/amount is calculated. This number/amount is calculated.
Course and Study Expenses
Course Fees (ONLY if paid upfront)
$
Course Materials (textbooks, calculator, laptop etc.)
$
Other Annual Costs
Vehicle (registration, insurance etc.)
$
Medical (doctor, medications, insurance etc.)
$
Memberships
$
Other Annual Costs
$
Page 3 of 6FEIT Student Financial Assessment form 2021
Form Preview
Total Other Expenses
$
This number/amount is calculated.
Debts Repayable This Year
Enter the amount you will pay THIS YEAR:
Credit Card
$
Short Term University Loan
$
Other Loans
$
TOTAL EXPENSES
TOTAL EXPENSES
$
This number/amount is calculated.
INCOME
Employment Income - Average Weekly Earnings
January - February $ x 9 weeks = $
March - November x 39 weeks =
$ $
December x 4 weeks =
$ $
Total Employment Income
$
This number/amount is
calculated.
Other Weekly Income
Centrelink Payments Specify the Centrelink payment type:
$
Parental Allowance
$
Specify the scholarship/s you receive:
Page 4 of 6FEIT Student Financial Assessment form 2021
Form Preview
Ongoing Scholarship Payments
$
Don't include scholarships received once or twice a
year. You'll record those in the Lump Sum section.
Other
$
Specify the other weekly income you receive:
Must be a dollar amount.
Total Other Weekly Income x 52 weeks =
$ $
This number/amount is calculated. This number/amount is calculated.
Lump Sum (Annual Income)
Parental Assistance
$
Specify the scholarship/s you receive:
Once-Off Scholarship Payment
$
Must be a dollar amount.
Include any scholarship you receive twice-yearly
after census date here - enter the amount you Specify the other annual income you receive:
receive in a whole year.
Other Annual Income
$
Must be a dollar amount.
FINANCIAL SUMMARY
TOTAL INCOME TOTAL EXPENSES DEFICIT / SURPLUS
$ $ $
This number/amount is This number/amount is This number/amount is
calculated. calculated. calculated.
ADDITIONAL INFORMATION
Are you currently receiving any financial assistance from your parents or other
family members?
○ Yes
○ No
Provide brief details outlining why/why not, type of assistance etc.
Do you have any dependents?
○ Yes
Page 5 of 6FEIT Student Financial Assessment form 2021
Form Preview
○ No
Dependents are children or parents or siblings who rely on you to financially support them.
Provide brief details of your dependents:
Certification
* indicates a required field
I certify that to the best of my knowledge the statements made within this
application are true and correct at the time of submission. If I have previously
submitted this form earlier, I have checked that the information is still current.
I agree * ○ Yes ○ No
Name * Title First Name Last Name
Date *
Must be a date
Page 6 of 6You can also read
