Student Interview – WAITLIST 2023

ST ANN’S COLLEGE INTERVIEW FORM

Please complete the form below.

Student Name *

First

Last

Known as

Portal Student ID *

Applying for *

Year

Gender *

Do you identify as Aboriginal or Torres Strait Islander?

School

Governmental
Independent
Other

Please specify

FAMILY

First in Family to attend University

Father

Name

Father's Occupation

Mother

Name

Mother's Occupation

Guardian

Name

Guardian's Occupation

Younger brother

Younger Sister

Older brother

Older Sister

Sibling currently at College

Sibling

Name

Relative formally at College

Collegian Relative

Name

FUTURE PLANS

Notes

Financial Position

Need for Help

PROPOSED COURSE

Universities

University of South Australia
University of Adelaide
Flinders University
Other University

Please specify

DOMINANT INTERESTS:

Academic

DOMINANT INTERESTS:

Other

Part Time Job

Details

Leadership Position

HEALTH

Illnesses, Injuries, Allergies, etc.

Details of Illnesses, Injuries, Allergies, etc.

Dietary Problems

Details of Dietary Problems

Psychiatric

Details of Psychiatric

REASON FOR APPLICATION

Family in

Source of Information about College

Friends at College

Friends

Ability to fit in with community living

What do you hope to contribute to College life?

APPEARANCE

PERSONALITY

ATTITUDE TO COLLEGE

Questions asked by Applicant

References

Notes

Car Parking

Send Car Parking Applications

General Assessment and Comments

Most highly preferred
Preferred
Satisfactory
Take a chance with
NOT recommended

Offer a Place

Notes

Interviewed by

St Ann’s College

187 Brougham Place, North Adelaide 5006 SA
Tel: +61 8 8267 1478
info@stannscollege.edu.au

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