Applicant Details

First Name

Last Name

Preferred Name

Date of Birth

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Postcode

Country

Guardian/Nominee Details

(complete if applicable)

First Name

Last Name

Relationship to Applicant

Phone/Mobile

Course / Workshop Applying For

Jump Education course, workshop or program name:

Proposed start date (if known):

Delivery Location

Onsite

Scholarship Request

Please briefly explain why you are applying for a Jump Education Scholarship and what you hope to achieve through this course or workshop.

Learning Support and Capacity Information

(This information is used to understand support needs and ensure appropriate learning pathways. It does not affect access to education or scholarship eligibility.)

Do you require additional supports to participate in learning activities?

Yes

If yes, please outline the type of support required (e.g. 1:1 support, prompting, assistance with communication, regulation, transitions):

Do you currently have access to funding or arrangements to support your learning needs (for example, through the Amazement Pathways Program or other independent supports)?

Yes

Unsure

If yes (optional): Funding source (if known):
Jump Education does not deliver or fund learning supports. Supports, where required, are arranged separately.

NDIS

Other

Prefer not to say

Acknowledgements (Mandatory)

(This information is used to understand support needs and ensure appropriate learning pathways. It does not affect access to education or scholarship eligibility.)

Please tick to confirm your understanding:

I understand that the Jump Education Scholarship covers course tuition fees only, including nationally recognised training

I understand that a $30 non-refundable administration fee applies

I understand that learning or disability-related supports are not included in course fees or scholarships

I understand that any required supports are funded and arranged separately

I have read and agree to the Jump Education Scholarship Terms and Conditions

I declare that the information provided in this application is true and correct to the best of my knowledge.

Declaration

I declare that the information provided in this application is true and correct to the best of my knowledge.

Applicant Name

Signature

Sign Here

Scholarships

Scholarship Application Form