Direct Application Information Sheet Higher Education

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Program Enquiry Line 1800 FED UNI (1800 333 864) www.federation.edu.au info@federation.edu.au CRICOS Provider Number 00103D 2014 Direct Application Information Sheet Higher Education PROGRAM INFORMATION Information on FedUni s programs and services is available from www.federation.edu.au or Student Recruitment at info@federation.edu.au or 1800 FED UNI. Before completing this form, please check the application method, FedUni program code, campus, attendance type (full or part-time) closing dates, entry requirements and extra requirements for your preferred program. This information can all be found at www.federation.edu.au/programfinder WHO CAN USE THIS FORM? Application methods vary depending on the program you are applying for and your citizenship status. Please read the information below carefully to ensure you are using the appropriate application form. This form may only be used by applicants who are: Australian or New Zealand citizens or Permanent residents of Australia (including holders of a Permanent Humanitarian Visa) You may apply using this form if you are: NOT currently studying Year 12 in Australia A Non-Year 12 applicant who has not already applied through VTAC for this intake A Non-Year 12 applicant who intends to apply for programs at FedUni only A current student studying at either the University of Ballarat or Monash University-Gippsland Campus Applying for mid-year entry Applying for programs not offered through VTAC * Applicants who are intending to apply to more than one institution and all current Year 12 students must apply through VTAC. If you do not fit into any of the above categories, please refer to the Other Application Methods section below. OTHER APPLICATION METHODS VTAC The Victorian Tertiary Centre (VTAC) processes applications on behalf of FedUni for: Undergraduate degree programs listed in the VTAC Guide 2014 and Master of Teaching programs Applications are made online at www.vtac.edu.au. Please note that VTAC applicants for FedUni programs must be: Australian of New Zealand citizens or Permanent residents of Australia (including holders of Permanent Humanitarian Visas) or International students currently studying a standard Australian year 12 qualification or International Baccalaureate (IB) in Australia. INTERNATIONAL STUDENTS If you are not currently a permanent resident of Australia or New Zealand (and are not currently studying year 12) please refer to www.federation.edu.au/international or call +61 3 5327 9018. RESEARCH Higher Degree by Research applications should refer to www.federation.edu.au/research or contact the Research Services Office on (03) 5327 9508. TAFE For all TAFE applications please refer to www.federation.edu.au/apply or contact Student Recruitment on 1800 FED UNI.

CLOSING DATES Semester 1 applications close Friday 21 February 2014. Note that some programs have earlier closing dates. Applicants should refer to the relevant program information: www.federation/programfinder for specific details. Late applications may be accepted subject to availability. Mid-year applications close Friday 18 July 2014. * Places may fill prior to closing dates. Applicants are encouraged to complete and submit applications as early as possible. SUPPORTING DOCUMENTATION All applicants should attach a Curriculum Vitae/Resume and one A4 sheet detailing additional information to their application. An interview may be required to discuss the application, or clarify any details listed on the application. If an interview is required, the Selection Officer will contact applicants either by telephone or in writing. Please note that it is the applicant s responsibility to confirm the entry requirements and any extra requirements for any programs you are applying for. Applicants who do not fulfil these requirements will not be considered for selection. Further information regarding extra requirements can be found at www.federation.edu.au/programfinder. Applicants MUST provide CERTIFIED COPIES of any previous qualifications and/or any other supporting documentation in relation to an application. will not return the documents submitted with an application. It is therefore important that applicants do not submit original documents to their application. Copies of originals may be certified by: A registered accountant Bank manager Barrister, solicitor or patent attorney Police officer in charge of a police station, or the rank of Sergeant or above Postal manager Principal of an Australian secondary college, high school or primary school CONSIDERATION ON EQUITY GROUNDS If you feel that your eligibility for entry was lowered by circumstances during your education (for example: you having a disability; being from a non-english speaking background; being rural or isolated; being affected by financial hardship; or having a major setback during your studies) you can ask for this to be taken into account when your application is considered. Please attach an additional personal statement to your application. For more information contact the Manager, Equity and Equal Opportunity on (03) 5327 9357; the Disability Liaison Officer on (03) 5327 9757 or the Co-ordinator on (03) 5327 9552. SCHOLARSHIPS For information on scholarships and awards offered by FedUni, please refer to www.federation.edu.au/scholarships LODGING YOUR APPLICATION Prior to submitting the form check you have completed the following: Read and retained these information sheets Completed all sections of the application form Attached certified copies of required documentation Completed any extra requirements Signed the application form Applications to the Ballarat and Wimmera Campuses should be submitted to: Student Administration Mt Helen Campus PO Box 663 BALLARAT VIC 3353 Applications to the Gippsland Campus and Online Learning programs should be submitted to: Student Administration Gippsland Campus Northways Road CHURCHILL VIC 3842 No responsibility will be accepted for applications submitted to other offices. Please note that missing information can delay or prevent the processing of your application. Please tear off and retain these information sheets.

Program Enquiry Line 1800 FED UNI (1800 333 864) www.federation.edu.au info@federation.edu.au CRICOS Provider Number 00103D 2014 Direct Application For Form Higher Education Have you previously applied or been enrolled at the University of Ballarat? (University of Ballarat, Ballarat University College or Ballarat College of Advance Education) Yes No Received Stamp If yes please state UB Student ID number (if known) IF you are a current VTAC applicant (2013-2014), please state your VTAC number: BIOGRAPHICAL DETAILS PERSONAL DETAILS (Please print clearly using block letters) Title: Mr Mrs Ms Miss Other School Program Codes First Name: Middle Names: Family/Surname: Previous Name (if applicable): Date of Birth (dd/mm/yyyy): / / Gender: Male Female Country of Birth: Fed Uni Student ID Entered / / Sent to School / / CONTACT INFORMATION Mailing Address: City/Suburb: State: Postcode: Country (if not Australia): Mobile Phone: Home Phone: ( ) Email Address:

REGIONAL INFORMATION CITIZENSHIP STATUS Australian Citizen* New Zealand Citizen Permanent Resident of Australia** Humanitarian Visa** * Certified copy of citizenship certificate to be attached to application if an Australian citizen born overseas ** Certified copy of passport and visa to be attached to application Please note that your application will not be processed without the required documents. Are you of Australian Aboriginal or Torres Strait Islander descent? No Yes, Aboriginal descent Yes, Torres Strait Islander descent Yes, both Aboriginal and Torres Strait Islander descent FIRST PROGRAM PREFERENCE Semester 1 (March) Semester 2 (July) Other (Spring, Summer, Winter) FedUni Program Code (not VTAC code): Program Name: Major (if applicable): Attendance Type (tick one): Full-time Part-time Location: Ballarat Gippsland Wimmera Online Distance Learning Application Number Sent to SO / / SO Assessed / / Notes: Signed: Approve Deny SECOND PROGRAM PREFERENCE Semester 1 (March) Semester 2 (July) Other (Spring, Summer, Winter) FedUni Program Code (not VTAC code): Program Name: Major (if applicable): Attendance Type (tick one): Full-time Part-time Location: Ballarat Gippsland Wimmera Online Distance Learning Application Number Sent to SO / / SO Assessed / / Notes: Signed: Approve Deny THIRD PROGRAM PREFERENCE Semester 1 (March) Semester 2 (July) Other (Spring, Summer, Winter) FedUni Program Code (not VTAC code): Program Name: Major (if applicable): Attendance Type (tick one): Full-time Part-time Location: Ballarat Gippsland Wimmera Online Distance Learning Application Number Sent to SO / / SO Assessed / / Notes: Signed: Approve Deny

SUPPORTING INFORMATION ACADEMIC HISTORY You MUST provide CERTIFIED COPIES of any previous qualifications and/or any other supporting documentation in relation to your application. will not return the documents you submit with your application. It is therefore important you do not submit original documents with your application. SECONDARY EDUCATION What is the highest level of secondary studies you have completed or attempted? (please tick) VCE HSC IB VCAL Were these studies undertaken in Australia? (please tick) Yes No, please name country Please enter details of the highest level of your secondary studies in the table below. Year attempted/completed eg: 2012 Name of School State Completed Y/N *If you have not completed post-secondary study or do not have relevant employment history, you must provide your final year school results including (if applicable) your ATAR/ENTER/TER. POST-SECONDARY EDUCATION List all academic qualifications previously attempted or completed. Year Started Year Completed Name of Institution Name of Qualification State Successful completion Y/N EMPLOYMENT HISTORY If you wish for your work history to be considered, please complete this section. You may also attach further information such as a Curriculum Vitae/Resume or letters of support. From (year) To (year) Employer/Company Position Duties/Responsibilities PERSONAL STATEMENT Please state why you are interested in studying your preferred program. CONSIDERATION ON EQUITY GROUNDS Do you wish to apply for consideration on equity grounds? Yes (please attach additional personal statement) No

PRIVACY The information being sought in this form is collected for the purposes of processing your application and for the supply to you of education services. The information will be held by the University and may be accessed and used by people employed or engaged by the University. The information may be used or disclosed to others where required or authorised by law. The provision of the information is voluntary, but if the information is not provided the University may be unable to process your application or provide services to you. You have a right of access to, and correction of, your personal information, subject to any exceptions in relevant legislation. Please direct any enquiries you may have in relation to privacy to the University s Privacy Officer at privacyofficer@federation.edu.au or telephone (03) 5327 9506. APPLICANT DECLARATION I understand that: The University is collecting the information on this form for the purposes of processing my application and for the supply of educational services, including for the purposes of assessing my entitlement to Commonwealth assistance under the Higher Education Support Act 2003 and allocation of a Commonwealth Higher Education Student Support Number (CHESSN) to me; The University will disclose this information to the Department of Education for those purposes; The Department of Education will store the information securely in the higher Education Information Management System; The Department of Education may disclose the information to the Australian Taxation Office (ATO); Personal information about me may be disclosed by the University and the Department of Education to others where required or authorised by law; Submitting direct applications to multiple institutions is a direct breach of VTAC policy and may result in the withdrawal by the University of any place which may be offered; I declare that I have not submitted an application through VTAC for this intake and am applying only to Federation University Australia. I understand that the University may disclose my information to VTAC for auditing purposes; I declare that I have read the instructions and that all information submitted is correct and complete; and I acknowledge that the provision of incorrect information may result in the withdrawal by the University of any place which may be offered. Signature: Date: / / LODGING YOUR APPLICATION Prior to submitting the form check you have completed the following: Read and retained the information sheets Completed all sections of the form Attached certified copies of required documentation Completed any extra requirements Signed the application form Applications to the Ballarat and Wimmera Campuses should be submitted to: Student Administration Mt Helen Campus PO Box 663 BALLARAT VIC 3353 Applications to the Gippsland Campus and Online Learning programs should be submitted to: Student Administration Churchill Campus Northways Road CHURCHILL VIC 3842 No responsibility will be accepted for applications submitted to other offices. Please not that missing information can delay or prevent the processing of your application RECEIPT OF APPLICATION When your application has been processed and forwarded to the relevant selection officer, the FedUni Office will acknowledge recept of your application by email.