Expression of Interest

Enrolment Type *
Enrol Type*
- VCE Year 11, 2020
- VCE Year 12, 2020
- VCAL Year 11, 2020
- VCAL Year 12, 2020
Personal details of student
*
Title First name Middle name Surname
Preferred Name
Preferred Name (if applicable)
Gender*
Gender *
- Male
- Female
- Gender Diverse
DOB*
Date of Birth *
Date Format: DD dash MM dash YYYY
Student Email*
Student Email * Confirm Email *
Student Mobile*
Student Mobile *
Address*
No. & Street or Box details Address Line 2 Suburb State Postcode

Current / Previous School Information
Current secondary school?*
Currently completing:*
Are you on track to pass this year?*
Previous secondary school(s) and year levels completed*
Current School Referee*
Current School Referee's position held*
Current school referee contact details*
Parent / Guardian Name*
Parent / Guardian Email*
(Correspondence will be sent to this email address)
Enter Email Confirm Email
Parent / Guardian Phone*
(Please check carefully)

Enrolment Type *