Indigenous Access Program Application Form

Fill out the form in full and press the submit button.
You will receive an email of your application for your own records after submission so please ensure your email address is correctly printed in the form below.

Required fields are marked with an asterisk *

Application Requirements


note: you must identify as an Aboriginal or Torres Strait Islander to qualify for this program

Personal details

Date of Birth *

Education History

Abstudy/Centrelink Customer Reference Number


Do you currently have an Abstudy or CentreLink Customer Reference Number?
CSU Course(s) [note this is the only customised bodycopy of the form]

Review the Course listing of available subjects and criteria(Opens in a new window), then select your Preference in the table below.
If the course you are interested in is not on the eligibility list, please contact us for discussion

Preferences Course name Campus Study mode
1st
2nd

Agreement


If yes you will need your parent/guardian to give consent for you to attend the program

Name of parent or care giver is required if applicant is under 18

Please type your name in full
Date *