Special Access Admission Scheme (SEAS) application form


Please read the Direct Special Access Admission Scheme (SEAS) webpage before completing this form.

Required fields are marked with an asterisk (*).

Personal details
Date of birth *
Are you of Australian Aboriginal and/or Torres Strait Islander descent OR identify as a person of Australian Aboriginal and/or Torres Strait Islander heritage and are accepted as such by an Indigenous community.
Were you born outside Australia in a non-English speaking country
Do you speak a language other than English at home
Did you arrive in Australia on, or after 1 January 2007
Do you have a permanent address in a regional, remote or area (postcode is classified as RA2 or higher using the <a href="http://www.health.gov.au/internet/otd/Publishing.nsf/Content/locator">Australian Standard Geographical Classification</a>
Have you continuously resided at this location for at least the last three years?
Have you been disadvantaged by your financial circumstances?
When did your condition(s) first present?
Obtain and submit a statement of support from a health professional familiar with your situation or condition. Example health professionals include general practitioners (GPs), psychologists, psychiatrists or chiropractors.

(NOTE: Only PDF, JPG or PNG files types permitted. Max file size 8MB.)

When did your circumstances first present?
Do your difficult circumstances relate to formal out-of-home care? Please note: Out of Home care refers to someone who has been in foster care, residential care, kinship care or been a ward of the state.
Do your difficult circumstances involve having been a refugee? NOTE: a refugee is someone who has had to leave or abandon his/her native country due to persecution or fear of persecution on account of race, religion, personal associations, or political opinion and has been granted a humanitarian visa.
(.pdf .jpg .png file types only. Max 8MB file size)

Declaration *
  • I have fulfilled all requirements required to be eligible for consideration
  • To the best of my knowledge, the information given in this application is correct and complete
  • I understand that submitting false or misleading information may result in any offer of a place withdrawn at any stage, including after a course has commenced.
  • I understand the University reserves the right to vary or reverse any decision made on the basis of incorrect or incomplete information.
  • The University is under no obligation to consider any application submitted after the due date.
  • I acknowledge and accept the full enrolment terms and conditions, that govern this application form.



La Trobe University respects the privacy of your personal information and your privacy is important to us. Information collected on this form will only be used by the University for the purposes related to assessing your application and in accordance with the Website Privacy Statement and the University’s Privacy Policies. You may have the right to access the personal information we hold about you subject to any exemptions in relevant laws by contacting us on 03 9479 1839.