FormTitle

Establish your Indigenous eligibility

FormDescription

About you

Salutation

First Name

Last Name

If you have been known by any other names (e.g., maiden name, alias, legal name change), please list them here

Date of birth (dd/mm/yyyy)

The email address you used in your application or your University of Melbourne Email address

Secondary email address

Mobile phone

e.g. 400 000 000

Mobile phone

e.g. 400 000 000

Home phone

e.g. 400 000 000

Home phone

e.g. 400 000 000

Work phone

e.g. 400 000 000

Work phone

e.g. 400 000 000

Please describe yourself

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.

School/Educational institution

Current or past University of Melbourne student?

Yes

Current or past University of Melbourne student?

Yes

If applicable, please enter your University of Melbourne Student ID

Sensitive

Student ID

Please select the document you will submit to verify your eligibility

A properly executed Confirmation of Aboriginality or Torres Strait Islander descent ORUniversity of Melbourne Community Declaration Form ORIf you are unable to provide a Confirmation of Aboriginality or complete a Community Declaration Form, please submit a Statutory Declaration (download)

Country of residence

Postcode (of your primary residence)

Australian residence status

Current level of study

Highest level of study

Country of citizenship

Do you identify as Aboriginal and/ Aboriginal and Torres Strait Islander Flags

or Torres Strait Islander?

Are you interested in UoM Accommodation?

Yes

Are you interested in UoM Accommodation?

Yes

Qualification

Other qualification

GPA

What is the nature of your enquiry

Subject

Enquiry description

Attach File
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Declaration

I solemnly declare that I understand that The University of Melbourne uses the Commonwealth Three Part Definition, which defines Aboriginal and/or Torres Strait identity as follows:

An Aboriginal and/or Torres Strait Islander person is any person who:

a. is of Aboriginal and/or Torres Strait Islander descent, AND

b. identifies as an Aboriginal and/or Torres Strait Islander, AND

c. is accepted as such by the Aboriginal and/or Torres Strait Islander Community in which they live or lived.

Understanding the above definition, I solemnly declare that:

I am of Aboriginal descentI am of Torres Strait Islander descentI am of both Aboriginal and Torres Strait Islander descent

AND

I identify as an Aboriginal person

I identify as a Torres Strait Islander person

I identify both as both an Aboriginal and Torres Strait Islander person

AND

I am accepted as such by the community in which I currently liveI am accepted as such by the community in which I formerly lived

AND

I understand that making a false declaration (including falsifying a document) is grounds for my offer, scholarship, enrolment (under the Selection and Admissions Policy) or employment (under the Recruitment and Appointment Policy) to be withdrawn or cancelled. I acknowledge that being dishonest about one’s identity and one’s connections to Indigenous communities lacks integrity and intent of identified positions to address inequality and is harmful to Indigenous peoples.

Privacy Notice

The University of Melbourne is committed to protecting your privacy by meeting its responsibilities under applicable privacy laws, as detailed in our privacy notice.

I acknowledge that I have read and understood the privacy notice.

Privacy notice

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Eligibility form