PETER DALEY SCHOLARSHIP

Peter Daley Scholarships application form

Applicants Name(Required)

First Last

Tertiary Course Name

Tertiary Institution (eg. University or TAFE etc)

Results to date PDF (HSC results, Previous marks in course or degree)

Drop files here or

Max. file size: 8 MB.

Current commitment with Queenscliff SLSC

Please list your activity within the club to date. Including involvement in Competition, Training, other Service to the Club and Club awards (eg Presentation Night awards)

Plans for Membership with Queenscliff SLSC

Please write a short paragraph of your future commitment to the Club.

Queenscliff SLSC Interest (eg. Marsh Past, Boat Rowing, Patrols etc)

Phone(Required)

Email(Required)

Date(Required)

CAPTCHA

Past recipeint name

Where they are now

short blurb about how this helped them and their future endeavors.

Past recipeint name

Where they are now

short blurb about how this helped them and their future endeavors.

PETER DALEY SCHOLARSHIP