St Madeleine Sophie Barat Bursaries Application Form · 2019. 6. 18. · St Madeleine Sophie Barat, (RSCJ foundress) believed in the personal strength and conviction in forming both

Sacré Cœur

St Madeleine Sophie Barat BursariesApplication Form

These Bursaries are a way of building and extending our community, and affirm our commitment to the Sacred Heart goal of A Social Awareness that Impels to Action, by offering educational opportunities to families not otherwise able to afford a Sacré Cœur education.

Sacré Cœur

Sacré Cœur Women Shape the World

“For the sake of a single child, I would have founded the Society of the Sacred Heart”

St Madeleine Sophie Barat, (RSCJ foundress) believed in the personal strength and conviction in forming both a student’s character and intellect as she saw the importance of bringing together our head and heart in all we do.She would challenge us to be our best version of ourselves and to be focused on others reminding us of the attention she had on each individual. That remains a pivotal lens through which we live out our social justice and Sacred Heart values at Sacré Cœur.

Drawing on the vision of all our RSCJ Wisdom Women, we are encouraged to care for the vulnerable and to respond to the challenging issues of our time because it is our gift and responsibility to do so. The School endeavours to assist as many families as possible with partial remission of tuition fees only, for eligible families.

To ensure continuity of the bursary program each bursary is reviewed annually in regards to the family’s financial position. The names of the bursary applicants and recipients remain confidential. Information provided by families is confidential.

Eligibility criteria - Financial• Bursaries will be awarded after the advertised

application closure date, with the level of financial assistance determined by a means-tested assessment of each family’s capacity to pay fees.

• 75% remission of tuition fees may be awarded by the Principal.

• Eligibility of every successful applicant will be re-assessed before the end of Term 3 annually.• Financial eligibility will be assessed based

on submission of a Financial Hardship Questionnaire and Statutory Declaration with both parents/guardians (where applicable) to sign.

• If eligible, the regular enrolment process will commence.

• If awardee subsequently leaves the School, the bursary may be required to be refunded in whole or part by the family.

• Bursaries do not cover enrolment fees, uniforms, textbooks, camps, transport, annual building fund levy and sundry charges that may arise from time to time.

Eligibility criteria - General• Available at any year level (subject to availability

of enrolment places for that year level).• Bursary must be taken up by the commencement

of Term 1, 2019.• Available only for new applicants or those

applicants on current School waiting lists.• Bursaries are not available to any student who

has commenced the School enrolment process, or already has been offered, or has had a place confirmed.

• Student must not have been enrolled at the School previously.

• Available to multiple siblings.• An accompanying character reference is

required (eg from a parish priest or school principal).

• Cannot be used in conjunction with any other School offer, bursary, award or scholarship.

• All other standard School enrolment applications procedures must be undertaken and fulfilled.

How to apply• Complete the Application Form, Financial

Hardship Questionnaire and Statutory Declaration with both parents/guardians (where applicable) to sign.

• Provide a character reference (eg from a parish priest or school Principal).

• Provide details of the family’s difficult financial circumstances.

• Must submit the above documentation by close of business on Friday 2 November 2018 to

Admissions ManagerSacré Cœur 172 Burke RoadGlen Iris VIC 3146

St Madeleine Sophie Barat Bursaries Application Form

172 Burke Road, Glen Iris Victoria 3146 Ph: +61 3 9835 [email protected] sacrecoeur.vic.edu.au ABN 75 465 146 609

Student Details

Surname Given name/s

Preferred name(if different from given name) Date of birth

Address

Postcode

Country of birth Nationality Languagespoken at home

Religion Parish

Sacraments received

Baptism Reconciliation First Eucharist Confirmation

Is your daughter of Aboriginal or Torres Strait Islander origin?

No Yes, Aboriginal Yes, Torres Strait Islander Yes, Aboriginal and Torres Strait Islander

Residency status

Australian citizen Permanent resident Temporary resident

Proposed year level of entry (eg Year 5) Proposed year of entry (eg 2019)

Current school Year level

The child lives with

Both parents Mother Father Other(please specify)

Are there any court orders or other arrangements that may impact on the child’s attendance at Sacré Cœur?

No Yes

Siblings currentlyat Sacré Cœur? No Yes If Yes please complete the following

Name Year Level Name Year Level

Do you have any family members who previously attended Sacré Cœur? No Yes If Yes please complete the following

Name Year Left Relationship





Family Details

If deceased please state Parent / Step-parent / Guardian 1(Circle as appropriate)

Parent / Step-parent / Guardian 2(Circle as appropriate)

Title (Mr, Mrs, Ms, Dr etc)

Surname

Given name/s

Preferred name

Occupation and Employer

Marital status

Home address(if different from child) Postcode Postcode

Mailing address(if different from above) Postcode Postcode

Telephone (home/mobile)

Number and nature of dependants

Why do you wish for your daughter to be educated at Sacré Cœur and how would a bursary benefit your daughter?

Sacré Cœur seeks to enrol students from families whose values and goals are aligned with those of the School. Please explain how your family’s values are consistent with those of Sacré Cœur.



Statutory Declaration

I/we swear/affirm that

1. I/we am/are the parent/s - guardian/s of the applicant in this application.

2. I/we am/are aware that I/we have an obligation to make a full and frank disclosure to Sacré Cœur of my/our financial situation.

3. The information set out in this statementand the attached Financial Hardship Questionnaire, is a true and fair statement of my/our entire financial affairs. I/we understand that a person who intentionally makes a false statement in a Statutory Declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959, and I/we believe that the statements in this declaration are true in every particular.

4. I/we have no income, property or financial resources other than those set out in the attached Financial Hardship Questionnaire.

Parent/Step parent/Guardian 1(please print)

Sworn/affirmed(please print)

Name Place Date

Signature

Before me: Full Name of Justice of the Peace/Solicitor(please print)

Name Place Date

Signature of JP/Solicitor

Parent/Step parent/Guardian 2(please print)

Sworn/affirmed(please print)

Name Place Date

Signature

Before me: Full Name of Justice of the Peace/Solicitor(please print)

Name Place Date

Signature of JP/Solicitor

Note 1 A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for which is imprisonment for a term of 4 years — see section 11 of the Statutory Declarations Act 1959.

Note 2 Chapter 2 of the Criminal Code applies to all offences against the Statutory Declarations Act 1959 — see section 5A of the Statutory Declarations Act 1959.




Sacré Cœur Financial Hardship Questionnaire - Year to 30 June 2018

Family Name _________________________________________________________________________

Address ______________________________________________________________________________ All amounts below to be shown for the combined family

Annual Income $Base income (including salary from own company)Regular overtimeCentrelink paymentsFamily tax benefit (Part A and B)Child maintenanceInvestment propertiesSavings accountsSharesOther incomeTotal

Annual Expenses $Loan and lease repayments

Own homeInvestment propertiesMotor vehiclesPersonal loans

Food and groceriesRentInsurances (home, contents, vehicle, medical, life)Vehicle costs (registration, service, fuel)Rates and body corporateElectricity, gas and waterChild maintenanceChild careSchool feesMedical expensesOther (incl home maintenance, gifts, donations,entertainment, holidays, etc)Total

As at the date of signature below Market Value /Investment Balance $ Amount owing $ Facility limit /

redraw available $Assets/LiabilitiesOwn homeInvestment propertiesMotor vehiclesSavings accountsCredit cardsSuperannuationSharesTotal

Signed as a true and fair statement of affairs by:

Parent/Guardian 1: _________________________________ Parent/Guardian 2: __________________________________

Signature: _________________________________________ Signature:___________________________________________

Date: _____________________________________________ Date: ______________________________________________

Supporting Financial Documentation ChecklistThe provision of the complete supporting financial documentation is necessary before any application can be processed.

Document Attached

Provide a character reference from an independent party (eg from a parish priest or school principal).

Nature of Difficult Financial CircumstancesIn order for an assessment to be made of the application, please attach a separate sheet providing details of your circumstances and the need for financial assistance.



St Madeleine Sophie Barat Bursaries


Sacré CœurSacré Cœur

“For the sake of a single child, I would have founded the

Society of the Sacred Heart”.

Documents

St Madeleine Sophie Barat Bursaries Application Form · 2019. 6. 18. · St Madeleine Sophie Barat, (RSCJ foundress) believed in the personal strength and conviction in forming both