The University of Melbourne
Forms
2024 STUDENT APPLICATION FORM for the Kwong Lee Dow Young Scholars Program
Applications have now closed. Please only submit an application if you have been approved by your school to do so.
This form is your application to the Kwong Lee Dow Young Scholars (KLDYS) Program. Please note applications are only open to Year 10 students from Victoria or schools in the border regions of New South Wales or South Australia. Successful applicants will form the KLDYS Class of 2025 (named for the year members will complete Year 12).
HOW TO APPLY
1. First, check your eligibility for the Kwong Lee Dow Young Scholars Program on our website:
http://go.unimelb.edu.au/rr5i
.
2. Before you apply, please have a conversation with your Careers Teacher, Year 10 Coordinator or Principal to let them know you're interested in submitting an application. Each school must limit the number of applications they submit. To be considered the school will need to endorse your application, so this conversation and the school's support is vital.
3. You can only submit ONE application, so please consider your answers carefully before finalising your submission. We suggest answering the questions in a separate document before transferring them to the application form. You may wish to save this document for later reference.
4. You will not receive an email confirmation regarding the submission of your application. Instead, you will see a 'Thank you' screen following submission which is confirmation that your application has been received. Applicants and schools will be notified of the outcomes in mid-November.
We wish you well with your application. If you have any questions, please email
young-scholars@unimelb.edu.au
.
About you
First name
Last name
Date of birth (dd/mm/yyyy)
Gender
Please select...
Woman or female
Man or male
Non-binary
[I/They] use a different term
Prefer not to say
Country of citizenship
Please select...
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Antarctic Territory
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Byelorussian SSR
Cabo Verde
Cambodia
Cameroon
Canada
Canton and Enderbury Islands
Cayman Islands
Central African Republic
Chad
Chile
China
China (excludes SARs and Taiwan)
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo (the Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czechoslovakia
Czech Republic
Dahomey
Denmark
Djibouti
Dominica
Dominican Republic
Dronning Maud Land
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands [Malvinas]
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Afars and Issas
French Guiana
French Polynesia
French Southern and Antarctic Territories
French Southern Territories
Gabon
Gambia
Georgia
German Democratic Republic
Germany
Ghana
Gibraltar
Gilbert and Ellice Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonal Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Johnston Island
Jordan
Kazakhstan
Kenya
Kiribati
Korea (the Democratic People's Republic of)
Korea (the Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Midway Islands
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Neutral Zone
New Caledonia
New Hebrides
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pacific Islands
Pakistan
Palau
Palestine
Panama
Panama Canal Zone
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro
Seychelles
Sierra Leone
Sikkim
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Southern Rodesia
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Surinam
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Unites States Miscellaneous Pacific Islands
Upper Volta
Uruguay
USSR
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Vietnam
Viet-Nam, Democratic Republic of
Virgin Islands (British)
Virgin Islands (U.S.)
Wake Island
Wallis and Futuna
Western Sahara
Yemen
Yemen, Democratic
Yugoslavia
Zaire
Zambia
Zimbabwe
Venezuela
Laos
South Korea
England
Tanzania
United Kingdom
Korea, Republic of (South)
Hong Kong (SAR of China)
Country not known
Wales
Macau (SAR of China)
Kosovo
Yugoslav Republ. of Macedonia
Scotland
Gaza Strip and West Bank
The former Yugoslav Republ. of Macedonia
Syria
Northern Ireland
Adelie Land (France)
Samoa, American
Bonaire, Sint Eustatius and Saba
Chilean Antarctic Territory
Congo, Democratic Republic of
Congo, Republic of
Falkland Islands
Micronesia, Federated States of
Korea, Dem. People's Republic of (North)
Maldives
Ross Dependency (New Zealand)
Australian External Territories, nec
Queen Maud Land (Norway)
Pitcairn Islands
Spanish North Africa
St Barthelemy
St Helena
St Kitts and Nevis
St Lucia
St Martin (French part)
St Pierre and Miquelon
St Vincent and the Grenadines
Suriname
Virgin Islands, British
Virgin Islands, United States
Argentinian Antarctic Territory
Australian Antarctic Territory
Polynesia (excludes Hawaii), nec
South America, nec
Southern and East Africa, nec
Overseas country not known
Cote d'Ivoire
Czechia
Republic of Korea
Viet Nam
China, Hong Kong Special Administrative Region
United Republic of Tanzania
China, Macao Special Administrative Region
Libyan Arab Jamahiriya
State of Palestine
Democratic Republic of the Congo
No corresponding UN category
Azores
Cape Verde
Channel Islands
Commonwealth of Dominica
Côte d'Ivoire
Holy See (Vatican City State)
Macau
Macedonia (Former Yugoslav Republic)
North Korea
Tahiti
The Netherlands
United Kingdom, Channel Islands and Isle of Man
Faeroe Islands
British Virgin Islands
Republic of Moldova
Sint Maarten
Do you identify as Aboriginal and/or Torres Strait Islander?
Please select...
Yes
No
School/Educational institution
Please ensure your school name is correct and in full e.g. The Mac.Robertson Girls' High School. If your school has multiple locations, please choose the option which represents the campus you attend. If a matching school name does not appear, type in the whole name (including campus if applicable), and then tab to the next question.
Contact details
Mobile phone
e.g. 400 000 000
Email
Please ensure you have provided your correct email with no spelling or domain errors.
Residential address
Street number and Street name
Suburb
Postcode
State
Parent/Guardian first name
Parent/Guardian last name
Parent/Guardian email address
Please ensure you have provided the correct email with no spelling or domain errors.
Tell us your story
In 300 words or less, tell us about your interest and your life. You can choose to write about events in your life, your family, your passions, your role models, your goals or the challenges you have experienced.
Tell us about your extracurricular activities and community involvement
In 300 words or less, please list the main extracurricular activities and/or leadership roles that you have been involved in/held over the last four years, either at school or in your community. These might include music, debating, sport, the arts, volunteer work or caring for someone with special needs.
In 300 words or less, please describe the role you have played in these activities, emphasising those where you have demonstrated leadership qualities or commitment.
Are you the recipient of any awards or prizes?
In 300 words or less, list any awards, prizes or other acknowledgements that you have received either at school or in your community.
What is your greatest achievement so far?
In 100 words or less, please describe what you think has been your most important achievement in the last five years.
In 200 words or less, please explain why you have chosen the above achievement as your most important.
Are you an elite athlete or performer? (If 'no', please leave blank.)
Please select...
Yes, I am an elite sports person representing the state or country
Yes, I am a musician, dancer, theatre performer or actor operating at the highest level in the performing arts
If yes, what is your sport or performance activity and at what level (e.g. swimming at state level or Piano LMusA)?
Are you interested in future study at the University of Melbourne?
In 100 words or less, please describe the course and future career path you intend to pursue.
Hidden Fields
todays date
Course Category
Course SF ID
KLD Account Id
Communication preferences
If you are selected as a Kwong Lee Dow Young Scholar, you will receive information about the KLD program. Would you like to receive additional information about University of Melbourne events and news throughout the year?
Yes,I would like to receive information about studying at the University of Melbourne, including course and study updates, event invitation and market research.
Collection notice
The University of Melbourne is committed to protecting your privacy by meeting its responsibilities under applicable privacy laws, as detailed in the
privacy collection notice
Yes, I have read and agree to the privacy collection notice