Short Course Application Form

Title

Given Names (Value Required)

Chosen Name

Surname (Value Required)

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Have you been a student at CDU before?

Do you have an overseas/international address?

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Home address (Value Required)

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Is your postal address different to your home address?

Postal address (Value Required)

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Starting from (Value Required)

ZMIC501: The Pedagogy of Indigenous Knowledge Sharing through Creative and Cultural Practices
Please indicate you have read and understood the assumed knowledge requirements for this course.	No Yes
Please confirm which intake you wish to apply for.	Intensive 4 (INT-4)
Will you be 18 years of age or over by the course commencement date?	No Yes

Q1. Are you of Aboriginal or Torres Strait Islander origin? (Value Required)

Yes

Q2. Is English your second language? (Value Required)

Yes

Q3. Do you have a disability, health condition or mental health condition? (Value Required)

Yes

Q4. What is your highest level of study? (Value Required)

Q5. How did you find out about Short Courses? (Value Required)

Personal Details