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MITS Student Application Step One - Expression of Interest

Once you complete this Expression of Interest Form you will be asked to provide a number of documents at Step Two of the application process.   To help you prepare, you will be sent a list of these documents once you have submited this form. 

SECTION A: Details of Person Assisting with this Form
Details of anyone who assisted the student to prepare this report.
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First Name
Last Name
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Details of the relationship to the Student (eg Parent, Teacher, Transition Support Officer)


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Please note, a confirmation email including links and details for Step Two will be sent to this email address
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SECTION B: Student Details
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First Name
Last Name

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(mm/dd/yyyy)
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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Please select the option that best describes where the student currently lives. None of the above

Student's Mobile Phone Number (if available)
Current School Details
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First Name
Last Name




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Please attach the student's latest school report

Please provide the Student's school attendance

The Person Assisting the Application to explain why they think this student should attend MITS

The Person Assisting the Application to explain what are the student’s personal qualities that would allow the student to be successful at MITS
Cultural Identity and Language
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Is the student Aboriginal or Torres Strait Islander?
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What traditional owner group(s) does the student identify with on their mother’s side.
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What traditional owner group(s) does the student identify with on their father’s side.
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Does the student speak a language other than English at home? (If more than one language, please indicate the one that is spoken most often.)
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What is the most common language spoken at home
SECTION C: Primary Guardian
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If Other, describe the Primary Guardian's relationship to the student
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First Name
Last Name



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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Does this Guardian have any other children in boarding schools or on scholarships?

If this Guardian has other children in boarding schools or on scholarships please provide details.
If more than one language, please indicate the ones spoken most often.
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SECTION D: Other Guardian's Details
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First Name
Last Name
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If Other, describe the Other Guardian's relationship to the student
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code





Does the Other Guardian have any other children in boarding schools or on scholarships?

Provide details of other children in boarding schools or on scholarships.
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If more than one language, please indicate the ones spoken most often.
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SECTION E: Health
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Please select any health issues relevant to the student

Please provide details of any health issue listed
SECTION F: Social / Emotional
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Has the student faced any social, emotional challenges or needs, eg Anxiety?

Provide details of any social, emotional challenges or needs

Please note any other social or emotional needs which may be relevant to this application
Confirmation: information provided is true and correct
I confirm the information that I have provided is correct to the best of my knowledge. By submitting this application form, I agree to the MITS Enrolment Policy and Procedures.