HT Scholarship Form

Step 1 of 4

25%
  • -

    Section A - Applicant Contact Details

    Please come into our office if you have any difficulties with this application form and one of our friendly staff will assist you!

    You can also call 4254 1166 or email info@housingtrust.org.au

  • Name*

  • Gender

  • Date of Birth*

  • Age

  • Home Address*

  • Postal Address (if different to above)

  • Email Address

  • Mobile or home phone*

  • Other phone number

  • How would you like us to contact you?*

  • Is English your second language*

  • If yes, please specify your first language