Application Form

Apply Today!

Fill out our application form to register your interest in our next intake.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Name*

First Name * Last Name *

Email address*

Phone number*

Mother's Name*

Mother's First Name *

Mother's Email address*

Mother's Phone number*

Father's Name*

Father's First Name *

Father's email address*

Father's Phone number*

Which program are you applying for?

Date of Birth*

Please enter in the following format: dd/mm/yyyy

Country of Birth*

What is your country of residence?*

What school did you graduate from?*

School Transcripts (optional)

Max. file size: 256 MB.

Three referees required. Two should be from a school setting (i.e principal/teacher). The last one should be from family/friends

Reference 1 - Name*

Reference 1 - Position*

Reference 1 - Contact Details*

How long have you known R1?*

Reference 2 - Name*

Reference 2 - Position*

Reference 2 - Contact Details*

How long have you known R2?*

Reference 3 - Name*

Reference 3 - Position*

Reference 3 - Contact Details*

How long have you known R3?*

In a few sentences, please tell us what you would like to gain from attending MerkosWomen in Melbourne*

Do you require accommodation in our dormitory?*

Yes

Maybe

Upload photo (optional)

Accepted file types: jpg, png, gif, webp, jpeg, doc, Max. file size: 256 MB.

Please upload a photo of yourself to ensure we are dealing with a real person

Agreement*

I agree to receiving marketing and promotional materials