Pre-selected Student Application | Defence Industry Connection Program

Work Integrated Learning (WIL) Placement Information

Host Company Name(Required)

Location of Placement(Required)

Host Company Contact Name(Required)

Host Company Contact Job Title(Required)

Host Company Contact Email Address(Required)

Host Company Contact Phone Number(Required)

When does the internship commence?(Required)

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)

Yes

What is the internship duration?(Required)

Total business days

Student Information

Name(Required)

First Last

Best Contact Number(Required)

Email Address (University)(Required)

Email Address (Personal)(Required)

Address(Required)

City(Required)

State(Required)

Postcode(Required)

Date of birth(Required)

Gender(Required)

University(Required)

Student ID(Required)

Enrolled Course of Study(Required)

Major/Minor, if relevant(Required)

Current Year of Study(Required)

eg: First Year

When do you expect to complete your degree?(Required)

eg: October 2027

Citizenship(Required)

If you hold dual citizenship, name the country of dual citizenship.

Career Questions

Provide an outline of your career goals and aspirations as they relate to the defence industry in South Australia.(Required)

Supporting Documentation

Please attach your current university academic transcript and an up-to-date copy of your Curriculum Vitae (CV) or resume below. Please be sure to include contact information of two references in your CV as well as details of any paid or unpaid/volunteer work you have undertaken, as well as details of any internships you have already completed. (optional)

Academic Transcript(Required)

Please attach a copy of your academic transcripts (unofficial is acceptable) .

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 10 MB.

Curriculum Vitae(Required)

Please attach a copy of your curriculum vitae with supporting information.

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 10 MB.

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)

Yes

Do you speak a language other than English at home?(Required)

Yes

Are you a former Defence employee?(Required)

Yes

Have you ever been convicted of a criminal offence?(Required)

Yes

Do you have a disability that you would like to disclose for making reasonable adjustments during the application process and internship experience?(Required)

Yes

If yes, please provide any information you consent to share with us and host companies.

If yes, please provide any information you consent to share with Australian Industry Group and Host Companies for the purposes of making reasonable adjustments during the application process and - integrated learning experience. (optional)

Confirmation

You must agree to the following terms and conditions of application to register.

I consent to Australian Industry Group sharing my application and supporting documents with Host Companies for the purposes of applying for this scholarship;
I confirm I am an Australian citizen;
I confirm that I reside in the state of South Australia;
I confirm that I am a student currently enrolled as an undergraduate in a Commonwealth Supported place at Adelaide University or Flinders University studying an eligible discipline;
I understand that providing any false or misleading information may prohibit me from participating in the Defence Industry Connection Program and that any monies received by me may be recovered by the program's administrator;
I am eligible to apply to secure a baseline clearance through the Australian Government Security Vetting Agency (AGSVA) where required by the host company;
I understand that I may be providing health information which is sensitive information under the Privacy Act 1988 (Cth);
I consent to Australian Industry Group's collection, use and disclosure of the information for the purpose stated in this form; and
I agree that I have read and understood Australian Industry Group's Privacy Policy which you can access here.