Pre-Selected Students

DICP Pre-Selected Students Scholarship Application Form

This form is only for use by students, who have been selected for an unpaid placement within the defence industry and have not yet commenced their placement.

Submission of this form enables the DICP Team to assess student’s eligibility for DICP Scholarship.

Name(Required)

Student Information

DD slash MM slash YYYY

Work Integrated Learning/Internship Information

Please note that we are unable to facilitate internships that commence prior to DICP Scholarship award.
Is there a University WIL Agreement already in place?(Required)
Total business days

Additional Questions

This information is collected to support people of diverse backgrounds and circumstances. The Defence Industry Connection Program does not discriminate on the basis of a person’s personal attributes. Your answers to these questions will only be disclosed for the purpose referred to above and will otherwise be treated as confidential.
Are you of Aboriginal and/or Torres Strait Islander Origin?(Required)
Do you speak a language other than English at home?(Required)
Are you a former Defence employee?(Required)
Do you have a disability that you would like to disclose for making reasonable adjustments during the application process and internship experience? If yes, please provide any information you consent to share with us and host companies.(Required)

Confirmation

Successful applicants may be asked to provide evidence to confirm.(Required)