Bachelor of International Studies (Dean’s Scholar)
Application Form
UAC code 753131

Note: PART A and PART B must be completed.

PART A
Please enter the following details:

UAC number:
Family name:
First name:
Mailing address (home):
Suburb:
State:
Postcode:
Telephone number:
Mobile number:
Email address:
School name:
School address:
Academic Referee: (eg.subject teacher, School Principal or Deputy Principal)	Name Position
Are you applying for Selective Entry to the Faculty of Arts?	Yes No
Proposed Minor/s:	Peace & Security Studies International Communication Asia Pacific Studies Global Development and the Environment
Proposed Language Minor:	French Indonesian Italian Japanese Mandarin (Chinese) Spanish
In 200-250 words please express why you wish to apply for the Bachelor of International Studies(Dean’s Scholars) Program.
(Optional) Do you identify as a student from any of the following equity groups?:	An Aboriginal or Torres Strait Islander student A student from a family with a low income. A student who speaks English as a second language. A student with a disability. A female student who is studying in a non-traditional area (e.g. engineering). A student who cares for someone with a disability. A student from a rural or isolated area.