Creston College Residency Application Form

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1 Eligible applicants must be female full-time students of UNSW or nearby tertiary institutions. * Required fields. This application is to be considered for Academic Year* Please tick* Semester1 Semester2 Section 1: Personal Details Family Name * Preferred Name Given Name(s)* Permanent Address * If in doubt, write your parents'/guardian's address Address for correspondence If different from above Contact Details Include Country and Area Codes, if applicable. Phone Number(s)* Home Mobile Fax Number Skype Name Address* Date of Birth * dd/mm/yyyy Place of Birth * Nationality as per passport * Australian Permanent Resident* Religion Name and address of person to notify in case of emergency * Relationship * Mobile Number * Address 1

2 Section 2: High School Academic Record High school(s) attended * Name of High school Location Years attended Final school year examination subjects (Answer ONLY if your highest education level is HIGH SCHOOL, otherwise proceed to Section 3.) * List below subjects (and level) taken, trial exam results, school assessment and HSC or equivalent results (if known). Subjects Marks, other comments Anticipated Tertiary Entrance Score (ATAR) or equivalent Actual Tertiary Entrance Score (ATAR) or equivalent Section 3: University Studies University Admissions Centre Information: List courses and university courses in order of preference as filled out on your UAC application form (Australian citizens) or equivalent Course University What is your intended profession or career? * Are you already accepted into UNSW? * What year of the course will you be entering? * Please indicate any tertiary institutions attended, including name of institution, year of study and courses. Name of Tertiary Institution Year of study Course Name For applicants who have completed one or more years of tertiary study, please supply university or other tertiary subjects and examination results (preferably official transcript). 2

3 Section 4: Financial Support Main source of finance * Please tick all that is relevant. Parents Cadetship Austudy Scholarship Part-time job Other (specify) Guarantor of fees * Please indicate name and details of person acting as a guarantor against fees to be paid. Section 5: General Interests/Achievement General Interest * arts / books & authors/ music / hobbies / others Sporting interests and achievement * Leadership roles * Membership in societies / organisations youth / community groups / clubs Work experience Position and type of work Full-time, casual or volunteer 3

4 Merit awards/scholarship/other achievements Main goals / aspirations in life * Section 6: Health Please mention any major illnesses or injuries, which would require special consideration in any way. Medical / Dietary Requirements * Please note - special diets will only be provided for medical reasons. Write N/A if not applicable. Section 7: Reason for Application Why would you like to live in Creston College? * How did you find out about Creston College? * Please tick all that is relevant. School Principal / Careers Adviser UNSW material Internet Word of mouth UAC Guide Other (specify) What do you think you can offer Creston College? * 4

5 Section 8: Preferences Did you apply to other UNSW residential colleges or self-catered apartments?* Please tick If 'yes', please indicate which UNSW housing options and number them in order of preference, including Creston College. * Accommodation Rank Creston College Creston College Room Preference * Room Type Single room / private shower Single room / shared bathroom Rank Section 9: Referees Give details of two persons whom you know well and who are willing to serve as referee for you, e.g. Principal, Teacher, Tutor, Employer (do not include relatives or family friends). Referee Name* Address Phone Number 1 2 Both referees must complete a Confidential Reference Form. Download Confidential Reference Form Referees must send completed forms DIRECTLY to Creston College: Fax: Post: Admissions, Creston College, 36 High Street, Randwick 2031 NSW, Australia 5

6 Section 10: Payment Details Application Fee: $25 Please check CURRENT FEE on website. Payment Method * Please tick Australian Bank Cheques Credit Card (MasterCard or Visa only) Direct Bank Transfer Cheque Payment Australian Bank cheques must be made payable to CRESTON COLLEGE, with the applicant's name written at the back of the cheque. Please post the cheque to: Creston College 36 High Street RANDWICK NSW 2031 Credit/Debit Card Payments (Master or Visa Cards only) Type of Credit Card * (MasterCard or Visa) Name of Card Holder * Card Number * Expiry Date * mm/yyyy Direct Bank Transfer Account Name: Creston College BSB: Account Number: Bank: Commonwealth Bank of Australia Branch: UNSW Section 11: Supporting Documentation Please post all relevant documents to: Admissions, Creston College, 36 High St, Randwick 2031 NSW, Australia or scanned copies by to: Checklist High school report OR University transcript Photo (ID-style) Application fee 2 sealed confidential references sent DIRECTLY to Creston College SAVE electronically completed form as a PDF document with the applicant s name (eg JaneSmith.pdf) Please SEND this Application Form to Creston College via: Fax: Post: Admissions, Creston College, 36 High Street, Randwick 2031 NSW, Australia 6

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