Application for Summer Winter University Program

Please complete this webform to apply for the summer winter university programs. Documents you will need:

PDF copy of your passport

Personal details

First name *

Last name *

Email address *

Mobile phone *

Date of birth *

If you have previously applied to Curtin or was a student before, please indicate your Curtin Student ID (optional)

Country of Citizenship *

Students current location *

Course and qualifications

Select Course *

Open to university students on a good standing academic status or university graduates who achieved a passing degree. Educational Qualifications

Name of institution OR Name of Organisation (if employed) *

Health requirements

Disability or accessibility support requirements

Medical conditions to note

Dietary requirements

Travel requirements

Emergency contact name *

Emergency contact number *

Documents

Please upload a copy of your passport (pdf).

Applicant declaration

In submitting this application, I declare the following statements:

I declare that I have read the instructions on this application form and that the information I have provided is true and correct.
I am aware of the costs for my stay and have the financial capacity to meet any costs for the duration of my program. I am aware that I will be responsible for costs including airfares, visa (if required), travel insurance and other travel expenses.
I am aware that I will be responsible for booking my own flights, coordinating a visa (if required), having travel insurance and meeting any COVID related travel requirements.
I understand that the information collected on this form is to enable Curtin University to assess my application, create a record on its student database, undertake statistical analysis, meet statutory reporting requirements and further inform me about the course to which I am applying as well as the University’s other courses/events.
I understand that if I do not complete all the questions on this form, it may not be possible for the University to process my application.
I understand and agree to the Cancellation and Withdrawal terms regardless of the reason(s) for my withdrawal
I authorise Curtin University to obtain further academic information or official student records from any educational institution or recognised educational qualifications assessment body necessary and/or, where my work experience is relevant, to verify my employment history for the purpose of making an informed decision about my application.
I understand that I have the right to access and amend personal information that Curtin holds about me, subject to legislation, by contacting the Freedom of Information Coordinator at foicoordinator@curtin.edu.au.
I acknowledge that Curtin University reserves the right to vary or reverse any decision regarding admission made on the basis of incorrect, incomplete or fraudulent information.

Privacy statement: At Curtin University, the privacy of our students, staff and the people we deal with is very important to us. Much of the information the University collects in order to provide the services that it does, is ‘personal information’. For details of how the University will use, disclose and protect your personal information please refer to https://informationmanagement.curtin.edu.au/privacy/

Please read the Terms and Conditions 2023.

I agree to the above declaration and have also read and agree with the terms and conditions for this program. *

It is recommended participants do not book flights and travel until your place in the program is confirmed. All participants who have applied and completed their application with payment will be contacted after the application closing date.