Page 1 - Tertiary Support 2025/2026 Round 1

* indicates a required field.

Applicant Details (Not Applicable)

Applicant *

First name

Last name

Date of Birth *

Must be a date.

Home Address *

Return to address search

Address line 1

Address line 2

Suburb/Town

State/Province

Postcode

Country

Address Line 1, Suburb/Town, State/Province, and Postcode are required.

Current Address *

Return to address search

Address line 1

Address line 2

Suburb/Town

State/Province

Postcode

Country

Address Line 1, Suburb/Town, State/Province, and Postcode are required.

Mobile Number *

Must be an Australian phone number.

Personal Email *

Must be an email address.

Are you an Australian Citizen or Permanent Resident of Australia domiciled in Victoria *

Response required.

Yes

Clear

How did you hear about the Tertiary Support Program? *

Response required.

Previous Scholarship Recipient

Freemason Connection

Friends

Social Media

University

Other

Clear

Bank Details (Not Applicable)

If your application is successful the funds will be paid into your nominated bank account.

Account name must be account holders name. Check the name used on your account, it is usually your name, for example, if your account was opened in your name and your name is John Smith your account name is John Smith.

Bank Account *

Account Name

BSB Number

Account Number

Must be a valid Australian bank account format.

Education (Not Applicable)

Tertiary Institution Attending *

Must be Victorian institution

Course (eg:Diploma or Bachelor of Nursing) *

Course can be provided by a Victorian University or registered TAFE provider

Is this your first Tertiary Course? *

Response required.

Yes

Clear

Year of Study *

Year completed Year 12 *

Secondary College attended in Year 12 *

Masonic Connection (Not Applicable)

Do you have a family connection to a Freemason? *

Response required.

Yes

Clear

Indicate "yes" if either your Father, Grandfather or Uncle is or was a Freemason.

If ‘Yes’ please give the full name of the Freemason, your relationship to him, and the name and number of the Lodge to which he subscribes (or, if deceased, subscribed to during his lifetime).

Please Note - Family association with Freemasonry is not a criteria for a Bursary.

This section is not applicable because of your response to question: "Do you have a family connection to a Freemason?" on page 1

Name	Lodge Name	Lodge Number	Relationship

Must be at least 3 rows

Tertiary Support 2025/2026 Round 1

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Applicant Details

Applicant Details (Not Applicable)

Bank Details (Not Applicable)

Education (Not Applicable)

Masonic Connection (Not Applicable)