Deakin Young Leader Award Application

Required fields are marked with an asterisk (*).

Personal details

Preferred pronouns *

First name * The name on your certificate

Preferred name The name you'd like us to use

Last name * Your surname

Date of birth *

Day Month Year

Year level *

Mobile phone number *

Email address *

School name * Select from the drop-down below

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

Postal address * (number and street)

Suburb *

Postcode *

Please answer the following key selection criteria

Describe a time you took initiative to make a positive change in your school or community. * (300–500 words)

Tell us about a challenge, project or initiative you approached in a creative or innovative way. * (300–500 words)

Describe a time you helped create a welcoming or supportive environment for others. What did you do and why did it matter? * (300–500 words)

How would the Deakin Young Leader Award support your future study and career goals? In what ways do you intend to continue making a positive and sustainable impact in your community? * (300-500 words)

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

Consent

Keep me informed about Deakin news and events

I consent to the University contacting my school on matters relating to my scholarship and enrolment at Deakin *

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.

Personal Information provided to Deakin University by entrants will be used to notify the recipient of the Deakin Young Leader 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). View the University's privacy policy or contact privacy@deakin.edu.au