Deakin Community Journalism Enrolment Form Mid-Year 2026

Deakin Community Journalism Program Enrolment Form
Journalist Name
Journalist Personal Email
(Personal email address - NOT a work email)
Journalist Direct Work Email
(Journalist's direct work email address NOT that of their supervisor/manager/editor)
Journalist Work Number
Format: (00) 0000-0000.
Journalist Mobile Number
Format: 0000 000 000.
Journalist Date of Birth

DayMonthYear
Date
Journalist Date of Employment

DayMonthYear
Date
Journalist Position/Grade
Newspaper/Publication
Employer
Employer Contact Person
Employer Contact Number
Please enter a valid phone number.Format: (00) 0000-0000.
Employer Email Address
example@example.com
Employer Postal Address

Street Address

Street Address Line 2

TownState

Postcode
Enrolment
Previous Journalistic Experience
Educational Qualifications
(Indicate areas of responsibility and types of assignments, eg courts, councils, agricultural affairs, feature writing etc)
Are exemptions sought?
If yes to above, Please upload documentary proof of journalist's work experience and/or previous qualifications attained, including full academic record.

If you can not upload, please email to cpadeakin@vcpa.com.com
Cancelof
Manager's Name
(Name of person authorised to approve enrolment fee)
Manager's Signature
Date

DayMonthYear
Date
Please note: It is imperative that employers inform Country Press Australia if a student transfers to another CPA member masthead or is no longer employed by them. Please email cpadeakin@vcpa.com.au.
Should be Empty:

Deakin Community Journalism Program Enrolment Form