NEWSTEP
BASIS OF ADMISSION FORM
Please complete this form and upload with your online application and supporting documentation.
Alternatively, you may return this form and supporting documentation with your Application Summary.
1 ONLINE APPLICATION DETAILS
First Name:
Surname:
Address:
Suburb:
State:
Postcode:
Phone No:
Date of birth:
Application number:
Date of online application:
Campus you wish to attend:
UAC application number (if you applied):
If you applied to UAC did you add Newstep as a preference on your
UAC application? YES
NO
2 TYPE OF APPLICANT
Part A is to be completed by applicants who have not completed Year 12 but have completed a post-secondary academic
qualification eg. Minimum level Certificate III from TAFE or from a private college.
Part B is to be completed by applicants who have not completed Year 12 and are basing their application on Adverse
Circumstances or Disadvantage.
2A APPLICANTS WHO HAVE COMPLETED A POST-SECONDARY QUALIFICATION
Have you completed TAFE Cert III or higher or other college studies:
YES
NO
If yes, year of completion?
Name of institution:
Duration of course:
Course name:
Please select the highest level of secondary studies you completed:
Part of year 12 (6 months)
Year 11
Part of year 11
Year 10 or equivalent
None of these options
Year completed school study:
Name of school/institution:
Required Supporting Documentation: Applicants must provide a copy of either their TAFE or College Transcript or
Certificate.
2B NON-YEAR 12 APPLICANTS ON THE BASIS OF ADVERSE CIRCUMSTANCES OR DISADVANTAGE
Identify the disadvantage or adverse circumstances that have affected your senior school progression. You must tick the
relevant box and send in the required supporting documentation for your application to be considered.
Please select the highest level of secondary studies you completed:
Part of year 12 (6 months)
Year 11
Part of year 11
Year 10 or equivalent
None of these options
School attended:
Last year of study:
Please Note: Non-Year 12 applicants must complete this section and the Adverse Circumstances or Disadvantage checklist
on the next page.
FormupdatedAugust2016
ADVERSE CIRCUMSTANCES OR
DISADVANTAGE
1
Disability or chronic illness
2
Interstate school transfer
3
Family or personal crisis
4
Excessive family responsibilities
5
Low income background or socio-economic
disadvantage
6
Australian Aboriginal or Torres Strait Islander
7
Non-English speaking background*
8
Arrival in Australia as a refugee
9
Schooling in a rural or isolated region
10
Attendance at a high school in an area of significant
socioeconomic and educational disadvantage as per
the NSW Department of Education RAM Resource
Allocation Model and average FOEI Family
Occupation and Education Index.
REQUIRED SUPPORTING DOCUMENTATION
Medical Impact Statement must be completed and signed by a
registered health professional
Educational Impact Statement plus a statement from each school you
have attended confirming the period you attended the school in years
10,11,12
Educational Impact Statement plus evidence of the nature, dates and
duration of the circumstances
Educational Impact Statement plus evidence of the nature, dates and
duration of the circumstances
Educational Impact Statement plus Centrelink income statement or
income tax assessment
Educational Impact Statement plus Confirmation of Aboriginality form
(can be obtained from the Foundation Studies Office)
Educational Impact Statement plus a verified copy of your initial
immigration visa
Educational Impact Statement plus a verified copy of your initial
immigration visa
Educational Impact Statement plus a statement from your school
confirming your attendance at the school and the period of your
enrolment
Educational Impact Statement plus a statement from your school
confirming your attendance at the school and the period of your
enrolment
Educational Impact Statement plus evidence of the nature, dates and
duration of the circumstances
* Non-English speaking background definition: Australian residents, who were born overseas, arrived in Australia less than 10 years ago
and speak a language other than English at home.
Any other adverse or special circumstances
11
PLEASE NOTE: The Educational Impact Statement must be completed and signed by a responsible person in the community (not
related to the applicant) who has been directly involved with the applicant and can provide information on the circumstances and the effect
on the applicant’s educational performance and reasons for discontinuing senior schooling.
For example:
•
•
•
•
A lawyer – must have dealt with the applicant’s circumstances in their capacity as a lawyer
A social worker – must have dealt with the circumstances in their capacity as a social worker
A teacher – must have taught the applicant for at least one year of applicant’s senior schooling;
A religious or community leader – must have provided counselling or support in regard to the adverse circumstance.
3. SIGNATURE
By signing this form, you are agreeing that the information provided by you on this application is true and correct.
Signature:
Date:
SUBMISSION CHECKLIST
Form completed and signed
All supporting documentation attached (including Application Summary if sending separate to application)
Application number listed on form
PLEASE UPLOAD OR RETURN WITH ALL REQUIRED DOCUMENTATION TO:
Newstep Application
Foundation Studies
Room MCLG49, McMullin Building
The University of Newcastle
University Drive
Callaghan NSW 2308
If you have any questions regarding your application, please contact Foundation Studies on:
Phone: (02) 4921 5558
Email: [email protected]
FormupdatedAugust2016