Mailing address

La Trobe University
Victoria 3086 Australia
T + 61 3 9479 1667
COLLEGE OF ARTS, SOCIAL SCIENCES AND COMMERCE
http://www.latrobe.edu.au/law
La Trobe Law School
MELBOURNE CAMPUSES
Melbourne (Bundoora)
Collins Street CBD
Franklin Street CBD
Secondary School Mooting Competition 2019 REGIONAL CAMPUSES
Bendigo
La Trobe Law School and VCE Units 1&2 Legal Studies Students Albury-Wodonga
Mildura
Shepparton
APPLICATION FORM

Please complete a form for each student nominee

Scan and email to Madeleine Matkowsky m.matkowsky@latrobe.edu.au

SCHOOL NAME: …………………………………………………………………...

STUDENT NAME: ………………………………………………..............................

DIETARY REQUIREMENTS: ………………………………………………………

STUDENT SIGNATURE: ………………………………………………………………

PARENT/GUARDIAN SIGNATURE: ………………………………............................

SCHOOL STAFF MEMBER: ……………………………………………………………

Phone/Email: ………………………………………………………………………

PRINCIPAL’S SIGNATURE: ……………………………………………………………

PRINCIPAL’S NAME: ………………………………………………………………