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APPLICATIONS CLOSE 5PM WEDNESDAY, 14 SEPTEMBER 2022

MS Go For Gold
2022 MS GO FOR GOLD
SCHOLARSHIP APPLICATION FORM
SCHOLARSHIP APPLICANT





RESIDENTIAL ADDRESS





ELIGIBILITY QUESTIONS

Applicant not registered as a client of MS Plus is welcome to apply..
PLEASE NOTE: By applying the applicant agrees to be contacted by the Plus Connect Team to register as a client with MS Plus

PLEASE NOTE: If the applicant received an MS Go for Gold Scholarship in 2020 or 2021, they are not eligible to apply again this year, however, if they received a scholarship prior to this, they are now eligible to apply again
All applicants who have previously applied for a scholarship and were unsuccessful are welcome to apply again.

DETAILS OF PERSON NOMINATING ABOVE APPLICANT
If you are applying for the MS Go for Gold Scholarship on behalf of another person, with their consent, please complete your details here:












The application cannot proceed without the consent of the person living with MS (the applicant)

GO FOR GOLD SCHOLARSHIP CATEGORY

To improve your chance of success, remember that Go For Gold scholarships are to enable winners to live a dream, rather than cover living or medical costs.

If you're unsure which category to apply for, please call our Supporter Engagement Team on 1300 733 690 for assistance

FOLLOW YOUR DREAM
Please complete each section below with the required information. Please note, a word limit of 500 has been set for each question.

Please provide as much detail as necessary to assist the judges to understand your goal and its significance to you.

Please provide examples

If your budget is more than $2,000, you must also briefly state how you will cover the rest of your costs. Please include supporting information to show where you got your budget figures from, for example quotes, a travel itinerary or website links





ACKNOWLEDGEMENT
  • I have read the MS Go for Gold Scholarship Terms and Conditions
  • All the information supplied is true and correct
  • If successful, the scholarship recipient agrees to use their scholarship to fulfil the dream outlined in the above application and it is recommended the grant be used within twelve months of receiving it.
  • The scholarship recipient will report back on their progress at the end of the twelve-month period.
  • If awarded an MS Go for Gold Scholarship, the applicant agrees to have their name published on the MS Plus website, consents to MS Plus utilising their story for marketing and promotional purposes and agrees to be contacted by the marketing department for further discussion.
  • The applicant acknowledges that the decision of the judges is final, and no further discussion will be entered into.
  • I confirm that the application:
    • has been completed in full, with all required supporting information
    • clearly describes a dream that the person with MS wants to achieve and how the scholarship will help them to achieve it
    • explains how the person with MS will use the scholarship funds to achieve their dream
    • identifies positive long-term benefits which might result from the person with MS being able to follow their dream.