CURTIN INTERNATIONAL MENG FEI INNOVATIVE FUTURE LEADER FULL FREE SCHOLARSHIP

APPLICATIONS CLOSE 5PM

18 30 SEPTEMBER 2019

Please write using BLOCK LETTERS

Family Name __________________________________________________________________________________________________

First Name __________________________________________________________________________________________________

Date of Birth ________________________________ Phone Number ____________________________________________________

Email __________________________________________________________________________________________________

Course __________________________________________________________________________________________________

What is your country of citizenship ________________________________________________________________________________

Please complete the following:

1 What is the highest level of education?

Qualification: _________________________________________________________________________________________________________

Institution: ___________________________________________________________________________________________________________

Course Weighted Average (if still pending final results please indicate a predicated course weighted average): __________________________

2 In 300 words please provide an insight into who you are as a person and why you believe you should be the successful recipient of the Meng
Fei Scholarship.

Page 1 of 3 CRICOS Provider Code 00301J

3 Curtin University is globally recognised for its innovative Courses, Teaching and Research. In 300 words please describe what Innovation and
Leadership means to you?

4 How will your chosen course at Curtin University assist you in becoming a Future Leader or Innovator?

Page 2 of 3 CRICOS Provider Code 00301J

 Declaration and Consent
complete and correct in every particular.

1. I understand the scholarship may be cancelled if it is proven that I was offered a scholarship based on false or misleading
information or documentation.

2. I consent to the collection, use, storage and disclosure of my personal information by Curtin University in connection with the
scholarship, including (without limitation) for the administration of the Meng Fei Innovative Future Leader Full Fee Scholarship
for Curtin University’s general administrative purposes which includes communications involving surveys, the availability of
courses, alumni activity, newsletters and promoting the scholarships program through any medium whatsoever (including,
without limitation, through advertisements, posters, books, articles, social media websites and on the world wide web
generally) for public relations, promotional, commercial and advertising purposes.

Applicant Signature __________________________________________________ Date _______________________________________

Parent/Guardian Signature ____________________________________________ Date _______________________________________

(If applicant is under 18 years)

How to submit

Please submit this statement along with the completed Curtin University International Application for Admissions form to
ci-enquiries@curtin.edu.au no later than 30th September 2019.

Curtin International
Email | study@curtin.edu.au
Web | http://international.curtin.edu.au
Tel | +61 1300 222 888 Select Options 2-2-1

Page 3 of 3 CRICOS Provider Code 00301J