Apply Now! | CISaustralia Application for All Programs

Name*

First Last

Preferred Name

Email*

Other Email

Mobile Phone*

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University*

If other University, please specify*

University Degree*

University Year Level*

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University ID Number

Program Type*

Virtual Internship Preference*

January Program Preference*

July Program Preference*

Internship Program Preference*

First Placement Field Choice*

Second Placement Field Choice

Volunteer Program Preference*

Volunteer Australia Preference*

Preferred Start Date*

Preferred Length of Program (Weeks)

Please enter a number from 1 to 14.

Skype Username

Language Program Preference*

Custom Program Preference*

Second Program Preference

Year of Interest*

Gender*

Date of Birth (YYYY-MM-DD)*

Country of Citizenship*

Other Citizenship/Permanent Residency

Street Address

City

State

Postal Code

Will you apply for OS-HELP?*

How did you hear about CISaustralia?

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Email Opt-In

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*(message & data rates may apply)

Terms and Conditions*

Yes, I acknowledge and accept the CISaustralia Terms and Conditions, Privacy Policy, Child Protection Policy, PSHEAH Policy and Code of Conduct and Behavioural Expectations, including all conditions associated with COVID-19 within the Release of Liability and Assumptions of Risk and the CISaustralia Refund Policy.

Application Fee

Price: $ 95.00

I will pay my application fee by:*

The application fee is a one off, non-refundable fee of $95. For CISaustralia to assess your application and do a comprehensive review and assessment of the application and support documents, we require your application fee to be paid. Once payment is made and application assessed, you will be contacted by your personal CISaustralia Program Advisor.

Credit Card*

Card Details

Cardholder Name

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Note: If you select Direct Deposit as your payment method, once you submit your application you will no longer be able to pay by credit card and we must receive your application fee by direct deposit.

Details required to arrange a direct deposit payment:

Bank: National Australia Bank
Account Name: Centre for International Studies
BSB: 084 852
Account Number: 3952 24497
Reference: When submitting your payment, please use the letters “APP” and your full name (or as much as you can fit). For example, if your name was Penny Smith you would enter the text APPPennySmith

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