Deakin Young Influencer Award Application

Personal Information provided to Deakin University by entrants will be used to notify the recipient of the Deakin Young Influencer Award.

Deakin University complies with the Privacy and Data Protection Act 2014 (Vic) in its treatment of personal information. Entrants have a right to access their personal information held by the University. Requests for access to personal information are managed under the Freedom of Information Act 1982 (Vic). The University's information privacy policy may be viewed at http://theguide.deakin.edu.au/ or by contacting privacy@deakin.edu.au

Required fields are marked with an asterisk (*).

Personal details

Preferred pronouns

Given names *

Family name *

Date of birth

Day Month Year

Year level *

Postal address * (number and street)

Suburb *

Postcode

Phone number

Mobile phone number *

Email address *

School name *

Each winning student will receive a prize pack which includes a Deakin crew top. Please indicate which size you'd prefer *

Please answer the following key selection criteria

Describe how you have made an outstanding contribution outside of your school life. * (300–500 words)

Describe how your skills and the experiences align with Deakin’s values of Community Leadership, Change Advocacy and Progressive Thinking. * (300–500 words)

How would your educational goals and career aspirations benefit from receiving this award? * (300–500 words)

Please upload any supporting information. (optional – maximum file size 18MB)

Keep me informed about Deakin news and events

Declaration *

I declare the information supplied by me is complete and correct.
I acknowledge that the provision of incorrect information or documentation relating to my application may result in withdrawal of any offer and that such withdrawal may take effect at any stage of the award, at the discretion of Deakin University.

Deakin Young Influencer Award Application

Domestic student

International student

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