2010 DIRECT ADMISSION SPECIAL CONSIDERATION APPLICATION

A126

You can use this form to apply for Special Consideration for your direct admission application at Victoria University (VU). Please read the
information and instructions below carefully before you complete the details. Please complete the checklist below once you have completed the
details to check that all sections have been completed.

INSTRUCTIONS
You must lodge a 2010 Direct Admission/Supplementary information application form with this form. Please ensure that you make
separate applications for each course and submit them in a A4 sized envelope - not a plastic folder. You can lodge your form in person at a
Student Service Centre or by fax or mail to the address below.
Course indexes and further information are available from www.vu.edu.au/courses/applying/how-apply.

DIRECT ADMISSION SPECIAL CONSIDERATION INFORMATION

Victoria University acknowledges that our applicants come from a diverse range of backgrounds and life circumstances, including socio-
economic, educational, cultural and linguistic, and that these factors may affect your preparation for post-secondary study. These factors are
consistent with those recognised by VU under the VTAC Special Entry Access Scheme (SEAS).
You should complete this form if you are applying for a course listed as available via DIRECT ENTRY and wish to apply for special
consideration under one or more of the categories below. You must also satisfy the eligibility requirements, provide appropriate
supporting evidence and satisfy all requirements that form part of a course application.
Direct entry courses are listed in the relevant Course Index. You can find more information about submitting your application in the Advice to
Applicants available from www.vu.edu.au/courses/applying/how-apply.
If you are applying for your course through the Victorian Tertiary Admissions Centre (VTAC) do not complete this form. To be considered
you need to complete a VTAC Special Entry Access Scheme (SEAS) application online when you submit your VTAC course application. You
can find more information about SEAS (including the application closing date) from www.vtac.edu.au.

APPLICANT CHECKLIST - PLEASE CHECK THAT YOU HAVE COMPLETED ALL SECTIONS
 Completed Sections A, B, C
 Completed Section D and signed form
 Attached written statements and certified evidence (if applicable)
 Completed and attached a relevant hardcopy Direct Admission/Supplementary Information form.
Further information about application submission is contained in the Advice to Applicants available from www.vu.edu.au/courses/applying/how-
apply
PLEASE MAKE SURE YOU SUBMIT YOUR APPLICATION BY THE CLOSING DATE.
CLOSING DATES ARE PROVIDED IN THE RELEVANT COURSE INDEX AT WWW.VU.EDU.AU/COURSES/APPLYING/HOW-APPLY

CONTACT STUDENT SERVICE CENTRES MAIL TO

Enquiries GOTOVU www.vu.edu.au/gotovu City Flinders Newport Admissions Office
Phone +613 9919 6100 City King St Albans St Albans Campus
Fax +613 9919 2976 Footscray Nicholson Sunbury Victoria University
Web www.vu.edu.au/future-students Footscray Park Sunshine PO Box 14428
Melton Werribee Melbourne VIC 8001

PRIVACY INFORMATION
The personal information we collect on this form is for the purpose of enabling you to enrol in your chosen course of study and for Victoria
University to deliver that course and related services to you.
You can access your personal information by contacting us at www.vu.edu.au/askvu or +613 9919 4000.
We collect your personal information in accordance with the Privacy Statement for students (www.vu.edu.au/current-students/student-
essentials/commonly-used-forms) and the Privacy Policy (wcf.vu.edu.au/GovernancePolicy/PDF/POU090123000.PDF).

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DIRECT ADMISSION SPECIAL CONSIDERATION CATEGORIES

IMPORTANT You should read each category definition and eligibility criteria carefully, and only tick the boxes in Section C of this form for which
you are seeking consideration. Also, you need to complete all the questions and provide all supporting evidence specific to each category under
which you apply.

1. MATURE AGE CONSIDERATION

Apply under this category if you have accumulated relevant experience since leaving school or since meeting tertiary entrance requirements.
You must be able to demonstrate relevant work and/or life experience, and indicate how this is likely to assist you to successfully complete the
course for which you have applied.
To be eligible under this category:
• Higher Education applicants must be 21 years of age or more as of 1 January 2010.
• TAFE applicants must be 18 years of age or more as of 1 January 2010, and have been out of full-time education for at least one
year.

2. NON-ENGLISH SPEAKING BACKGROUND

Apply under this category if you have arrived in Australia from a non-English speaking country in the last ten years, you speak a language other
than English at home, and you can demonstrate that your non-English speaking background has had an adverse impact on your preparation for
post-secondary studies. If you are an Indigenous Australian or deaf or hearing impaired you can also apply under this category.

3. RECOGNITION AS AN INDIGENOUS AUSTRALIAN

Apply under this category if you are of Australian Aboriginal and/or Torres Strait Islander descent or you identify as a person of Australian
Aboriginal and/or Torres Strait Islander heritage and you are accepted as such by an Indigenous community.
PLEASE NOTE We may contact the community for verification of any claims made.

4. DIFFICULT FAMILY CIRCUMSTANCES

Apply under this category if you can demonstrate that you have been prevented from reaching your educational performance potential because
of your family circumstances The circumstances considered under this category would include matters such as the care of an ill or mentally ill
family member and severe family disruption including dealing with alcoholism or drug addiction.

5. DISADVANTAGED SOCIO-ECONOMIC BACKGROUND

Apply under this category if you can demonstrate that you have suffered educational disadvantage as a result of your socio-economic
circumstances. The circumstances considered under this category would include matters such as individual or family poverty and economic
hardship.

6. APPLICANTS FROM RURAL OR ISOLATED AREAS

Apply under this category if you can demonstrate that you have suffered educational disadvantage as a result of either undertaking your
secondary schooling in a rural or isolated area and/or you are required to move from such an area to undertake your tertiary course. You can
find a list of applicable postcodes from www.vu.edu.au/courses/applying/how-apply

7. WOMEN IN UNDER-REPRESENTED DISCIPLINES

Apply under this category if you are a female applying for a course in a field of study where women have been traditionally under-represented,
specifically Engineering, Information Technology and related technologies.

8. PERSONAL DISABILITY OR MEDICAL CONDITION

Apply under this category if you can demonstrate that you have suffered educational disadvantage as a result of a disability or mental condition.

9. REFUGEE STATUS
Apply under this category if you can demonstrate that you have suffered educational disadvantage as a result of your refugee status. You must
supply a certified copy of your refugee status papers from the Department of Immigration and Citizenship. If you are not an Australian citizen
you must also supply a certified copy of your current visa and passport photo page.

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IMPORTANT - BEFORE YOU COMPLETE THIS APPLICATION
Are you (i) an Australian citizen, (ii) a New Zealand citizen who will be a resident within Australia during your studies, or (iii) a holder of a
permanent visa who will be resident within Australia during your studies?

 YES (Proceed to Section A)  NO (DO NOT COMPLETE THIS FORM - Please contact Victoria University International on +613
9919 1164 or email international@vu.edu.au
Please write in BLOCK LETTERS using a black or blue pen.

SECTION A
TITLE: FAMILY NAME:
PERSONAL DETAILS
(ALL APPLICANTS MUST FIRST NAME: OTHER NAMES:
COMPLETE THIS SECTION)
GENDER: M F DATE OF BIRTH: / /19

STREET NUMBER AND NAME (or PO Box):

SUBURB: STATE: POSTCODE:

AFTER HOURS PHONE: MOBILE PHONE:

BUSINESS HOURS PHONE: EMAIL ADDRESS:

SECTION B Please indicate the VU course for which you are submitting a Direct Admission/Supplementary Information form. Correct
DIRECT ADMISSION Course details are available in the relevant Course index at www.vu.edu.au/courses/applying/how-apply
APPLICATION DETAILS
If you are applying for multiple courses/streams via direct entry, you need to complete a new Direct Admission
(ALL APPLICANTS MUST Special Consideration form for each course/stream for which you have applied.
COMPLETE THIS SECTION) COURSE NAME
VU COURSE CODE: (as it appears on the Course index):

SECTION C (i) - CATEGORY 1

MATURE AGE
CONSIDERATION Please attach a written statement of no more than 200 words, describing any work or life experience that is
relevant to the course for which you have submitted a Direct Application to the University, and indicate how
 Tick if you are applying
this is likely to assist you in successfully completing the course for which you have applied.
under this category

SECTION C (ii) - CATEGORY 2 YES NO

1. Were you born outside of Australia in a non-English speaking country:  
NON-ENGLISH SPEAKING
BACKGROUND 2. What year did you arrive in Australia? 
 Tick if you are applying YES NO
3. Do you speak a language other than English at home?  
under this category
4. If yes, what is the language spoken?

5. Are you an Indigenous Australian for whom English is a second language?  YES  NO

6. Are you a deaf or hearing impaired applicant for whom English is a second language?  YES  NO

7. Please attach a written statement of no more than 200 words, indicating how your non-English speaking background
has adversely impacted on your preparation for post-secondary study.

SUPPORTING EVIDENCE If you were born overseas, you must attach a certified copy of your entry visa and a certified
copy of your passport photograph page to this application. If you have more than one passport, please provide a certified
copy of each.

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SECTION C (iii) - CATEGORY 3
RECOGNITION AS AN
INDIGENOUS AUSTRALIAN
 Tick if you are applying
under this category
For assistance with this application, Indigenous Australian applicants are invited to contact the University’s
Moondani Balluk Indigenous Academic Unit:
Telephone +613 9919 2836 or email moondani.balluk@vu.edu.au
1. Are you of Australian Aboriginal descent?  YES  NO

2. Are you of Torres Strait Islander descent?  YES  NO

3. Do you identify as an Australian Aborigine?  YES  NO

4. Do you identify as a Torres Strait Islander?  YES  NO

5. Which community/ies and/or Tribe or clans do you belong to/are associated with? (Attach a separate
sheet if the space below is insufficient.)
PLEASE NOTE The University may contact the community for verification of any claims made.

SECTION C (iv) - CATEGORY 4 1. Has your education been severely disadvantaged due to difficult family  YES  NO
DIFFICULT FAMILY circumstances?
CIRCUMSTANCES
2. Please attach a written statement of no more than 200 words, indicating the duration and nature of your
 Tick if you are applying difficult family circumstances, and how these circumstances have adversely affected your preparation for
under this category post-secondary study.

SECTION C (v) - CATEGORY 5 1. Have you been severely disadvantages by your socio-economic  YES  NO
DISADVANTAGED SOCIO- circumstances?
ECONOMIC BACKGROUND
2. Do you receive a Centrelink benefit such as Austudy or ABSTUDY or Youth  YES  NO
 Tick if you are applying Allowance?
under this category
3. Do you receive a Centrelink benefit such as a pension or educational  YES  NO
supplement?

4. Do your parent(s) receive a Family Tax Benefit?  YES  NO

5. Please attach a written statement of no more than 200 words, describing the duration and nature of your
disadvantaged socio-economic circumstances, and how these circumstances have adversely affected your
preparation for post-secondary education.
SUPPORTING EVIDENCE Please attach certified evidence confirming the Centrelink or Family Tax Benefit
that you or your family receive.

SECTION C (vi) - CATEGORY 6 1. Have you lived in a rural or isolated location for at least three of the past four  YES  NO
APPLICANTS FROM RURAL OR years?
ISOLATED AREAS
2. If yes, what is the postcode of this home location? 
 Tick if you are applying
under this category 3. Within the last four years, did you complete the final two years of secondary  YES  NO
(PLEASE NOTE You school in a rural or isolated area?
can find a list of
If yes, please provide the name of the school:
applicable postcodes at
www.vu.edu.au/courses/ The postcode in which the school is located in: 
applying/how-apply)
4. Will you have to move from a rural or isolated area to pursue the VU course  YES  NO
for which you have applied?

5. Please attach a written statement of no more than 200 words, describing how your school or home
location has adversely affected your preparation for post-secondary study.

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SECTION C (vii) - CATEGORY 7 PLEASE NOTE This category is only for female applicants who are applying for a course in fields of study
WOMEN IN UNDER- where women have traditionally been under-represented, specifically Engineering, Information Technology
REPRESENTED DISCIPLINES and related technologies.
 Tick if you are applying
under this category

SECTION C (viii) - CATEGORY 8

PERSONAL DISABILITY OR
MEDICAL CONDITION
 Tick if you are applying
under this category
1. Do you have a disability or medical condition which has adversely  YES  NO
affected your previous studies?
2. Please attach a written statement of no more than 200 words, describing the duration and nature of
your disability/medical condition, and how this has adversely impacted on your education.

SECTION C (ix) - CATEGORY 9

REFUGEE STATUS 1. Are you or do you identify yourself as a refugee?  YES  NO

 Tick if you are applying 2. Year of arrival in Australia 

under this category
3. Please attach a written statement of no more than 200 words, describing how your status as a refugee
has adversely impacted on your education.
SUPPORTING EVIDENCE Please supply a certified copy of your refugee status papers from the
Department of Immigration and Citizenship. Additionally, if you are not an Australian citizen please supply
a certified copy of your current visa and passport photo page.

SECTION D - DECLARATION
(ALL APPLICANTS MUST SIGN THIS
DECLARATION)
I declare that, to the best of my knowledge, the information given in this application is correct and
complete. I understand that the University reserves the right to vary or reverse any decision made on the
basis of incorrect, or incomplete information. I further authorise the University to obtain official records from
any educational authority holding such records on me. I also understand that if this application has been
submitted after the due date that it shall be deemed a late application and that the University is under no
obligation to consider it. Victoria University collects and uses your information in accordance with our
Privacy Policy, which is available at www.vu.edu.au or you may access the Privacy Information contained
in the Advice to Applicants and on this form. I understand that Victoria University may disclose the
personal information I have given in this application form to the Department of Education, Employment and
Workplace Relations (DEEWR) and that DEEWR will collect and store my personal information for use in
connection with the Higher Education Information Management System.

SIGNATURE OF APPLICANT: DATE: / /20

END OF FORM. PLEASE MAKE SURE YOU COMPLETE THE APPLICANT CHECKLIST ON PAGE 1 BEFORE YOU SUBMIT THIS FORM.

SCHOLARSHIPS INFORMATION
The VU Undergraduate and TAFE Scholarships program provides financial assistance to students who can demonstrate financial need. There
are a range of scholarships on offer, for different amounts and with different eligibility criteria. For more information see
www.vu.edu.au/scholarships

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