Beruflich Dokumente
Kultur Dokumente
Early Admission is only available to Australian citizens, Australian permanent residents or New Zealand
citizens, who live in the Logan Campus region: Logan City, Scenic Rim Region, Redland City, the Beenleigh
Business district and outer southeast Brisbane suburbs of Algester, Burbank, Calamvale, Drewvale,
Karawatha, Kuraby, Parkinson, Rochedale, Runcorn and Stretton, as well as applicants who attend schools
and colleges in the region.
Office use only
ID: ________________________
Application Number:
_______________________________________
Personal details
Title:
Mr
Ms
Mrs
Miss
Other __________________________
Female
Male
Residency Status:
Are you an Australian citizen?
Are you an Australian Permanent Resident?
Yes
Yes
No
No
(Please attach a certified copy of your permanent residency visa contained in your passport.)
Yes
No
Contact details
Email Address: __________________________________________________________________________
Home Phone Number: ____________________________________________________________________
Business Phone Number: __________________________ Extension: _____________________________
Mobile Phone Number: ____________________________________________________________________
Mailing Address:_________________________________________________________________________
______________________________________________
Postcode:______________________________
______________________________________________
Postcode:__________________________________
Full Time
Part Time
Secondary studies
School/Institution
State/
Country
Year(s)
Highest Level
(eg 1990-1994)
Studies
Completed?
(eg Qld,)
Yes
Yes
No
Yes
No
No
Name of Award/Course
Year(s)
(eg 2007-2011)
Yes
Studies
Completed?
Yes
No
Yes
No
Yes
No
No
Employer
Description of Position
Full or
Part Time
If your case for admission is based primarily on non-formal educational achievement through experience
and/or skills development, you should include detailed information and provide evidence and/or references
which indicate specifically your capacity to meet the demands of University study.
You should also include information, with evidence, on any other factors which may indicate an ability to
successfully complete the selected program (eg winning significant prizes, community project/work
achievements, accomplishments in hobbies and interests).
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Special consideration
Provide details and evidence if there are any special circumstances which should be taken into account (eg.
socio-economic disadvantage, extended illness, disabilities, compassionate circumstances).
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Declaration
I declare that to the best of my knowledge the information I have supplied in this form is correct and
complete. I understand that if I provide incorrect or incomplete information this may result in the
cancellation of my offer and/or enrolment. I recognise that it is my responsibility to provide all
necessary documentary evidence of my qualifications, studies and experience. I authorise the
university to obtain further information where necessary.
Signature:
Date:
Documentation
Original documentary evidence and photocopies or certified true copies of your qualifications must be
provided for sighting when you come for an interview.
Year 12 or TAFE students who are currently studying should provide originals and photocopies of all
semester reports which show subjects previously studied and those currently being undertaken and levels of
achievement awarded to date. Year 12 students should provide originals and photocopies of both Year 11
and Year 12 reports.