Indigenous Access Scheme application form

Application process

Once the completed application form and any required documents have been submitted, you will be contacted with information about the next step in the process.

Required fields are marked with an asterisk (*).

Personal details

Given name(s) *

Surname/Family name *

Date of birth * (use the format dd/mm/yyyy)

Gender *

Home address details

Number and street *

Suburb/Town *

State

Postcode *

Is your current postal address different to the one above

Postal address

Number and street

Suburb/Town

State

Postcode

Contact details

Home phone *

Work phone

Mobile phone

Email address *

Qualifications

Please select your highest level of completed study *

Has anyone in your family ever studied at university

Please list your employment history, community service, motivation for doing this course and/or any other relevant information that would help us assess your application (600 characters max)

Course selection

Please select which course you are interested in studying *

In which trimester are you applying to commence study?

Trimester 1
Trimester 2
Trimester 3

Declaration statement

I declare that:

I am of Australian Aboriginal and/or Torres Strait Islander Descent; and
I identify as an Australian Aboriginal and/or Torres Strait Islander; and
I am accepted as such by the community in which I live or have lived; and
the information given by me or on my behalf on this form is correct and complete.

I agree that I will be required to forward an endorsed Proof of Aboriginality (signed by local Aboriginal Community Organisation), to the NIKERI Institute in the event of being successful.

You can read more information about applying for admission into Deakin on Deakin's privacy page.

By clicking submit, I agree to Deakin University's Privacy Policy

Disclaimer

Deakin University, is collecting your personal information to access your application for admission. Deakin will also use this information to communicate with you about your application and provide you with additional relevant material. Deakin will not disclose your information to any third party unless required by State and Commonwealth reporting requirements or where authorised by law.

Your application will be stored securely and will be securely destroyed when no longer required to support your study at Deakin.

Deakin University manages personal information it holds, including requests by individuals for access to their personal information, in accordance with the Privacy and Data Protection Act 2014 (Vic). You have a right to gain access to your personal information held by the University. Information about Deakin’s privacy practices is available at http://www.deakin.edu.au/footer/privacy. You may obtain further information about privacy at Deakin by contacting the Privacy Officer at +61 3 5227 8524 or at privacy@deakin.edu.au.