Online Application Form

1 Your Details

2 Photo

3 References

4 Payment

Applying for*
Your Details
Given Names*
Middle Name
Family Name*
Gender*
- Male
- Female
Age*
Date of Birth*
Nationality*
Country
Country of Birth*
Country
Religion/Denomination*
- Catholic
- Lutheran
- Anglican
- Muslim
- Jewish
- Uniting Church
- No religion
Mobile Phone*
Home Phone
Email Address*
Enter Email Confirm Email
Sacraments
Enter one row for Parish and another for Location
Baptism Confirmation Eucharist
Are you of Aboriginal or Torres Strait Islander Origin?*
- No
- Yes, Aboriginal
- Yes, Torres Straight Islander
- Yes, both Aboriginal & Torres Straight Islander
Residential Address*
Street Address Address Line 2 Suburb State Postcode Country
Postal address as above*
- Yes
- No
Postal Address*
Street Address Address Line 2 Suburb State Postcode Country
Parent / Caregiver Details
Do you have more than one Parent / Caregiver?*
- Yes
- No
Parent/Guardian 1
Title
Given Name*
Family Name*
Address*
Street Address Address Line 2 Suburb State Postcode Country
Mobile Phone*
Home Phone
Email*
Enter Email Confirm Email
Occupation
Employer
Old Collegian
- Yes
Parent/Guardian 2
Title
Given Name*
Family Name*
Address*
Street Address Address Line 2 Suburb State Postcode Country
Mobile Phone*
Home Phone
Email*
Enter Email Confirm Email
Occupation
Employer
Old Collegian
- Yes
Siblings
Name Gender Age School
School Details
Current school OR last school you attended*
Name and Location
Previous Schools*
Current Student Status
Your Current Status*
If other, please specify:
Course Preferences
To be completed by applicants who do not yet have a university offer in Adelaide
List your preferences in order
Course University
Course Secured
ONLY to be completed by applicants who are already studying at university, or those who have received a university offer to study in Adelaide
Please identify the course you are studying or that you have been offered
Course University
If you are considering changing courses, please indicate the course you are intending to change to:
Course University
Academic Results
Academic Results from your most recent school report or if you are at uni from you most recent transcript.
Results*
Year Completed Year of Study Subject Grade
Interests & Achievements
Contributions to School and/or Community Leadership*
Sporting Interests and Achievements*
Cultural Interests and Achievements*
Other Interests and Achievements*

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Photo
Upload a passport size photo
Accepted file types: jpg, gif, png.

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Supply the details for 2 referees

When you supply these details, your referees will receive an automatic request for a reference from the college.
Note: Your referees will only receive a notification once you have completed your application.
First Referee - Academic Reference
Name*
Relationship*
Email*
Mobile Phone
Home Phone
Second Referee - Personal/Professional Reference
Name*
Relationship*
Email*
Mobile Phone
Home Phone

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To process your application there is a $60 non refundable application fee.
Application fee*
Credit Card*
NOTE: Please only press submit once and give some time for payment to process at the end of this registration to avoid being charged multiple times.

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Application Reference

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Baptism	Confirmation	Eucharist

Name	Gender	Age	School

Course	University

Course	University

Your Details

Parent / Caregiver Details

Parent/Guardian 1

Parent/Guardian 2

Siblings

School Details

Current Student Status

Course Preferences

Course Secured

Academic Results

Interests & Achievements

Supply the details for 2 referees

First Referee - Academic Reference

Second Referee - Personal/Professional Reference