AQ Foundation Bursary Application

Child's (Student) Details

First Name (Legal)

Last Name:

Preferred Name

Date of Birth

Enrolment status:

Please specify which campus:

Person completing this form

First Name:

Last Name:

Email:

I am the student's parent/legal guardian

Relationship to the student?

Parent/Guardian Permission

I have permission from the parent/guardian of this student to complete this form on their behalf

Is there a court order and/or parenting arrangement regarding this child in place?

Do you pay the school fees for this child?

Eligibility Criteria

Evidence of Financial Hardship must be demonstrated by providing details of at least one of the following options. Please complete all applicable:

Government Assistance

Evidence of parent/s' receipt of means-tested government benefits, such as the Australian Government Health Care Card, disability pension

Please upload evidence of Government Assistance

Household Income

Submission of recent payslips, bank statements from the past 90 days, the latest taxation notice of assessment or income statement from Services Australia.

Please upload evidence of Household Income

Unforeseen or Exceptional Circumstances

Documentation of unexpected expenses or significant changes in financial circumstances (e.g. medical bills, job loss)Unstable housing/current living arrangements of the child

Please upload evidence of Unforeseen or Exceptional Circumstances

Please provide a personal statement outlining the nature of this financial hardship and its impact on the family. This statement should provide context and supports the documentation provided:

Additional Criteria

Applications from culturally disadvantaged students may receive additional weighting. Please complete all applicable:

My child identifies as Indigenous and/or Torres Strait IslanderMy child identifies with a CALD (Culturally and Linguistically Diverse) backgroundMy child identifies as Australian

Please provide any further relevant details:

Additional supporting documentation

I would like to add other supporting documents / letters from schools or other agencies to confirm engagement with supporting services and provide explanation

Please upload additional supporting documentation

Comments regarding additional supporting documentation:

IMPORTANT - On the next screen you will be required to review your application and electronically sign. Once you have clicked 'Submit Signed Response' the form will successfully submit to Autism Queensland. You will be sent an email to verify your signed request.