Adelaide University Activate Program 2026 Application form

First name

Last name

Email address

Mobile phone

Date of birth

Postcode

If you are applying for Equity consideration, please select on which basis you wish to be considered

Current student enrolled at a school on the University Equity Scheme list

A current Year 12 student receiving a Centrelink means-tested income support payment

A current Year 12 student who holds a Health Care or Pensioner Concession Card in your own name

A current Year 12 student whose parent/guardian receives a Commonwealth means-tested income support payment

A current Year 12 student whose parent/guardian is the holder of a Health Care or Pensioner Concession Card

Mentor first name

Mentor last name

Mentor email address

Mentor contact number

Personal statement (400 words)

Why do you want to be part of the Adelaide University Activate Program, and what has motivated your choice of subjects? (~200 words)

How would participation in the Adelaide University Activate program, enable you to achieve your future goals? (~200 words)

Consent and acknowledgement

I consent to Adelaide University disclosing my academic progress and results in the Adelaide University Activate Program to my school.

I acknowledge that the selection into Adelaide University Activate Program is competitive and places are limited, so I may not be admitted even if I meet all published minimum eligibility criteria.

Privacy notice

I agree to receive Adelaide University communications, and if I am under 15 years of age, by ticking this box, I have express permission from a parent or guardian to receive future student communications from Adelaide University. See our Privacy notification for more details.

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