NISS 2022 Application

2024 National Indigenous Summer School

ANU, Canberra ACT

Application Cover Sheet - Section 1/3
Personal Details
Name
N/A

Required First Required Last
Date of Birth *
N/A
School Year/Grade *
N/A
Gender *
N/A
Email *
N/A
Student Phone Number *
N/A
Do you identify as Aboriginal, Torres Strait Islander or both? *
N/A
Name(s) of your nation(s), mob(s), and/or language group(s) *
N/A
Home Address
N/A

Required Street Address Required City Required State/Region/Province Required Postal / Zip Code

Country
School Details
Name of School *
N/A
Name of Teacher or Principal
N/A

Required First Required Last

Will be contacted for the support and endorsement of your application..
If teacher, what is their position/role?
N/A
Teacher/Principal Contact Number *
N/A
Teacher/Principal Email Address *
N/A
Parent/Carer Details
Parent/Carer Name
N/A

Required First Required Last
Parent/Carer Email Address *
N/A
Best Contact Number *
N/A
Home Address
N/A

Street Address City State/Region/Province Postal / Zip Code

Country

If different from student. If the same, leave blank.
Parent/Carer signature in support of your application *
N/A

E-Signature Field
Clear
Other Details
Do you have any prior commitments that may prevent or impact your attendance during the Summer School (30 November - 7 December 2024)? *
N/A

Please provide details if yes.
The Tjabal Centre (ANU) will be in contact soon to conduct interviews for applicants. This will be a chance for you to ask any questions, and for us to get to know you. Please provide your availability for an interview. *
N/A

Approximately 30 minutes to be held during May and June 2024.

Applicant's Statement - Section 2/3
University Pathway, Goals & Ambitions
Please indicate if you are on a university pathway (e.g., completing ATAR, or ATAR Courses)? *
N/A
If you are in year 11 or 12, what tertiary/university pathway/s are you considering? (i.e., what degree/university course/s)
N/A
If you are in year 10, are you considering a university pathway or ATAR? If yes, what pathway?
N/A
Please provide an example of a step you have taken towards your university and/or ATAR Pathway *
N/A

No more than 150 words.
Applicant Participation & Motivations
How would the National Indigenous Summer School enhance or compliment your current goals and/or academic journey? What benefits are you hoping this experience will provide? *
N/A

No more than 150 words.
Please provide 2 examples of how you have achieved or worked towards, an academic and/or personal goal. *
N/A

No more than 150 words.
Please provide 2 reasons why you should be selected as a National Indigenous Summer School participant. *
N/A

No more than 150 words.

School's Endorsement - Section 3/3
This section will be completed by the Principal or School Teacher delegated for the endorsement and/or support for your application. Please be advised the form will be sent by the Tjabal Centre directly to the e-mail address of the Principal or Teacher provided.

Confirmation
Submitting this Application Form
If submitting a hard copy (non-electronic) application, the application and cover sheet must be submitted to email address tjabal.centre@anu.edu.au with the subject heading ‘[Your Name] – Summer School Application’.

Section 3 (School’s endorsement) must be sent directly from the staff member mentioned in page 1 to tjabal.centre@anu.edu.au, with the same subject heading.
2024 Application Deadline
Application must be recieved by 5.00PM on 31 May, 2024, AEST.
Your Personal Information is Safe
Please note that the information in your completed application form will only be used by the Tjabal Centre and Summer School coordinators for the purposes of conducting a selection process for Summer School participants. The ANU will not distribute or use any of the information provided for any other purpose, unless we have prior written consent from the owners of the information.
Relevant Contact Information
If you require assistance with the application process, please contact:

Tjabal Indigenous Higher Education Centre
E-mail: tjabal.centre@anu.edu.au
Phone: (02) 6125 3441
Thank You
On behalf of the ANU, the Tjabal Indigenous Higher Education Centre thank you and your school for the time and effort taken to complete and submit your application form. You will be contacted about the outcome of your application by the end of June 2024.

2024 National Indigenous Summer School

Application Cover Sheet - Section 1/3

Personal Details

School Details

Parent/Carer Details

Other Details

Applicant's Statement - Section 2/3

University Pathway, Goals & Ambitions

Applicant Participation & Motivations

School's Endorsement - Section 3/3

Confirmation

Submitting this Application Form

2024 Application Deadline

Your Personal Information is Safe

Relevant Contact Information

Thank You

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