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Postgraduate health supplementary application form

Note: This is an ‘essential requirements’ form. Please ensure you have met all other admissions criteria and have submitted an application.

* indicates required field

Application details


If known

If accepted into this program I intend to study: *

Preferred study load * Neonatal care and perinatal and infant mental health are only available part-time

Personal details

Date of birth *

Placement details

Please indicate where you will undertake your placement *


If placement will be completed at your place of employment


You may upload your confirmation of placement from your employer, up to 5MB. Alternatively this can be attached to your direct application or emailed to admissions@federation.edu.au

Applicant checklist - please complete the checklist relevant to you

Neonatal care applicants

I am a registered nurse and/or midwife and I have/will include/d the following documents with my application. *
Each component must be supplied before your application will be assessed. If this checklist is not relevant to you please select N/A and complete another checklist.

Perinatal and infant mental health applicants

I am a health care professional and I have/will include/d the following documents with my application. *
Each component must be supplied before your application will be assessed. If this checklist is not relevant to you please select N/A and complete another checklist.

Child and family health applicants

I am a registered nurse and a registered midwife and I have/will include/d the following documents with my application. *
Each component must be supplied before your application will be assessed. If this checklist is not relevant to you please select N/A and complete another checklist.


You may upload your supporting documents here (up to 5MB each in size). Alternatively they can be attached to your direct application or emailed to admissions@federation.edu.au.

Privacy statement

The information being sought in this form is collected for the purposes of processing your application.

The information will be held by the University and may be accessed and used by people employed or engaged by the University in the delivery of services to you. The information may be used or disclosed to organisations outside the University where permitted by relevant Privacy Legislation. The provision of the information is voluntary, but if this information is not provided, the University may be unable to process your enrolment. You have a right of access to, and correction of, your personal information in accordance with Privacy Legislation and the University's Information Privacy Policy.

Please direct any enquiries you may have in relation to this matter to the University's Privacy Officer, telephone (03) 5327 9506.

Applicant declaration

You must agree to all statements to complete your application *