Year 13 Gap Year Application Form
The information provided in this form is confidential and details will not be divulged to any person without authority.

NOTE -  you must complete this application in one sitting.  Unfortunately there is no option to save your application and return to it at a later date.
Sign in to Google to save your progress. Learn more
The Calendar year you wish to attend Year 13 in: *
PERSONAL DETAILS
Last Name *
First Name *
Gender *
Date of birth *
MM
/
DD
/
YYYY
Residential Address *
Suburb *
State *
Postcode *
Postal address (if different from above)
Home Phone Number
Mobile Number *
Email Address *
It is essential that students have an active email address
How did you hear about Year 13? *
Briefly state why you want to join the Year 13 program: *
Secondary School Attended *
Year finished / will finish (eg Year 12 in 2023) *
The Year 13 program is designed for school leavers. We do not usually accept 'Year 14' students; however, under some circumstances we may be able to make an exception, and this is done on a case by case basis.  If this applies to you, please indicate why you think you should be given special exemption to apply for the program
Year 13 is committed to pastorally caring for you to the best of our ability. Are there any physical and / or mental health information that we should be made aware of to help assist you throughout the year. (e.g. Epilepsy, chronic fatigue syndrome, glandular fever, depression, anxiety disorder, etc) from which you suffer or have suffered in recent years. *
If YES, please explain
The Year 13 program requires overnight stays varying from one night a week up to a 3 week stay in a developing country; are you able to spend extended periods away from home? *
If NO, please explain
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms