Application form for Professional Development Grant

Please read the Guidelines before completing the form.

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* 1. Please fill in your details below

Name

University

State

Course of study

Year of arrival in Australia

Intake year

Email

Mobile number

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* 2. What would you identify your gender as? Please select an option below that best describes your gender.

Female

Male

Non-binary/gender diverse

Prefer not to disclose

My gender identity isn't listed. I identify as (please specify)

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* 3. What is the name of your previous employer in Cambodia?

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* 4. What was your role prior your departure to Australia?

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* 5. How many semesters do you have to complete for your course of study?

Less than 1 semester

1 semester

2 semester

3 semester

More than 3 semester

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* 6. Have you failed any subjects in the preceding semesters?

Yes

No