ATN Internships Application Please leave this field empty. Required fields denoted with an asterisk * Personal Details TitleMRMSMx First Name Last Name Preferred Name * Contact Number 1 Contact Number 2 Email Address 1 Email Address 2 Are you an Australian citizen or permanent resident?* —Please choose an option—Yes, I am an Australian citizenYes, I am an Australian permanent residentNo Gender * MaleFemaleUndefined Postal Address Number and Street City State Postcode CountryArubaAfghanistanAngolaAnguillaÅland IslandsAlbaniaAndorraUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBonaire, Sint Eustatius and SabaBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegovinaSaint BarthélemyBelarusBelizeBermudaBolivia, Plurinational State ofBrazilBarbadosBrunei DarussalamBhutanBouvet IslandBotswanaCentral African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCôte d'IvoireCameroonCongo, Democratic Republic of theCongoCook IslandsColombiaComorosCabo VerdeCosta RicaCubaCuraçaoChristmas IslandCayman IslandsCyprusCzechiaGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesia, Federated States ofGabonUnited Kingdom of Great Britain and Northern IrelandGeorgiaGuernseyGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIsle of ManIndiaBritish Indian Ocean TerritoryIrelandIran, Islamic Republic ofIraqIcelandIsraelItalyJamaicaJerseyJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People's Democratic RepublicLebanonLiberiaLibyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxembourgLatviaMacaoSaint Martin (French part)MoroccoMonacoMoldova, Republic ofMadagascarMaldivesMexicoMarshall IslandsNorth MacedoniaMaliMaltaMyanmarMontenegroMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlands, Kingdom of theNorwayNepalNauruNew ZealandOmanPakistanPanamaPitcairnPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People's Republic ofPortugalParaguayPalestine, State ofFrench PolynesiaQatarRéunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSouth Georgia and the South Sandwich IslandsSaint Helena, Ascension and Tristan da CunhaSvalbard and Jan MayenSolomon IslandsSierra LeoneEl SalvadorSan MarinoSomaliaSaint Pierre and MiquelonSerbiaSouth SudanSao Tome and PrincipeSurinameSlovakiaSloveniaSwedenEswatiniSint Maarten (Dutch part)SeychellesSyrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanTimor-LesteTongaTrinidad and TobagoTunisiaTürkiyeTuvaluTaiwan, Province of ChinaTanzania, United Republic ofUgandaUkraineUnited States Minor Outlying IslandsUruguayUnited States of AmericaUzbekistanHoly SeeSaint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVirgin Islands, U.S.Viet NamVanuatuWallis and FutunaSamoaYemenSouth AfricaZambiaZimbabwe University Details This program is only open to students from the ATN Consortium member universities. We will work with you to ensure that you have everything you need to enrol in the relevant unit and get credit. Your university* —Please choose an option—Curtin UniversityDeakin UniversityRMIT UniversityUniversity of South AustraliaUniversity of Technology Sydney Student ID Number Course Name Current WAM/GPA/average mark Major 1 Major 2 Major 3 Are you doing this internship for credit at your university?* YesNoUnsure If yes, what is the name of the unit that you will apply for? If yes, what is the name of the unit that you will apply for? Please provide any other information that you think may be of relevance to your application. Other Enrollment Information Program Details Our team will discuss your application with you during the initial consultation so it is OK if you are not yet sure which program is right for you - please just provide as much information as you can as a starting point. Are you applying to do a Team or Individual internship? —Please choose an option—Individual internshipsTeam internshipsUnsure - discuss during consultation Please complete the relevant section below, based on your selection above. Team Internships Which Team Internship program would you like to apply for? —Please choose an option—Summer Nov/Dec 2021Summer Jan/Feb 2022 Individual Internships When would you like to start? —Please choose an option—29th November 202128th March 2022Unsure How many hours per week would you like to work? —Please choose an option—16 hours24 hours32 hours40 hoursUnsure Please list any advertised positions that you would like to be considered for. Preferences CV and Statement of Intent Please upload your CV. Note: Please put some time into this to ensure that it is representative of your achievements and capabilities, looks clean and has consistent formatting. Attach File * (5MB max) Please provide a statement of intent explaining the following: 1. Why you want to join this program? 2. What you are seeking from your internship (Field of work, corporation or not-for-profit, etc.) 3. What can you bring to an organisation? This will not be presented to any prospective organisations, but will be used by the International Internships team to help ensure that your internship site is the best fit possible. * Statement of Intent Other Do you speak any Indonesian (Note that this is NOT a requirement of the program)? * NoneBasicModerateFluent How did you hear about this program? *—Please choose an option—A friend who did it previouslyFrom a course adviserFrom your lecturerLecture visit by an International Internships team member or past participantEmail sent by your universityOnline info provided by your universityOnline searchOther Terms and Conditions * I have read the Terms And Conditions I have read and accept the Terms and Conditions (Link opens in a new window) Yes, share my details I am happy for International Internships to share my contact details with other program participants. Please provide any other information that you think may be of relevance to your application. Other Information Send