DOE|Gifted and Talented

Version 1.8

Application Submitted Successfully

You should be sent an email confirming this application automatically. If you do not receive an email, or you did not include an email address, please contact 9264 4307 for final confirmation of your application. Applicants are strongly advised to print a copy of this screen for their own records.
Student Information

Given Name/s:
Preferred Name:
Date of Birth:
Current School Year:  
Aboriginal/Torres Strait Islander:
Home Schooled:
Present School Location:
Name of School:
Has the applicant been selected for a PEAC program?
Does the applicant have a learning disability that may affect test performance?
How you first learnt about Gifted and Talented programs:
Type of secondary School they are most likeley to attend if your child does not gain placement at a Gifted and Talented program:
Parent/Carer Information

Primary Contact null
Parent/Carer 1 Parent/Carer 2 (optional)
Title: null Title: null
Surname: Surname:
First Name: First Name:
Australian Resident: Australian Resident:
Postal Address: Postal Address:
Suburb/Town: Suburb/Town:
State: null State: null
Postcode: Postcode:
Daytime Number: Daytime Number:
Mobile: Mobile:
Email: Email:
If places are not available in my nominated choices, I would like to be contacted regarding other program opportunities:
Applicant’s Selection

You can select a minimum of 1 and maximum of 3 preferences, with 1 being your highest preference.