Application Form
Please fill in and submit the online application form to apply for a place at Mandelbaum House.
Name
*
First Name
Last Name
Preferred Name
Date of Birth
*
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Day
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Year
Date
Gender
*
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Applicant Email
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Address
Address
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Street Address
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Information
Your status
*
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I am an Australian citizen or resident
I am an Aboriginal or Torres Strait Islander
I am a citizen or resident of another country
Choose which best describe your status
What is your religion?
*
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Buddhist
Bahai
Christian
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No religion
Prefer not to say
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Other
Name of high school
Location of high school
High school certification
*
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HSC
VCE
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A levels
IB
Other
If other certification
Result or ATAR
Overall/average grade or result or ATAR (Australian Tertiary Admission Rank)
Final report
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Please submit an electronic copy of your most recent school report (pdf or word)
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University
Please tell us about your planned studies.
Year
*
Semester
*
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Full academic year
Semester 1
Semester 2
I plan to study at the following level
*
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Undergraduate
Post Graduate
Study Abroad
Exchange
Other
Gadigal residential scholarship recipient
*
Yes
No
Have you already been accepted into the University of Sydney?
*
Yes
No
University Admission Center Information
(for Australian school leavers and other students this applies to) List your preferences as completed on your UAC application by course or university (without codes or abbreviations).
Preference 1: Course & University
Preference 2: Course & University
Preference 3: Course & University
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About You
About Yourself
*
Write a brief statement about yourself and your family, ideals and aspirations
0/300
Your Interests
*
What are your interests (sports, cultural, music, hobbies etc)?
0/300
Leadership Positions
*
List any leadership positions held in relation to school, university or any other community activity and any prizes or awards you have received.
0/300
Why Mandelbaum House?
*
Why have you applied specifically to Mandelbaum House? How do you think you can contribute to the College community?
0/300
Why Mandelbaum House?
*
Why have you applied specifically to Mandelbaum House? How do you think you can contribute to the College community?
0/300
Special Circumstances
*
Are there any special circumstances or any medical, dietary, mental health conditions, disability, family circumstances or other matters which you wish to draw to the CEO's attention for special consideration?
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Submission
How did you first hear about us?
*
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Facebook
Instagram
Internet search
Mandelbaum website
Overseas government or education agency
Through school
UAC guide
University of Sydney Open Day
University of Sydney website
Word of mouth
Other
If other please let us know
I declare
*
Yes
I authorise
*
Yes, I give permission
Responsiblity for Payment
*
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Self Funded
Austudy
Abstudy
Scholarship
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Photograph
*
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Please attach a recent headshot of yourself
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Application Fee
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Cost of application
(without coupon)
$100 AUD
$
100
AUD
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