BACHELOR OF BIOMEDICAL SCIENCE (MEDICAL)SCHOOL ENDORSEMENT FORM School Endorsement Form – Year 11 ResultsLa Trobe's Bachelor of Biomedical Science (Medical) degree is a highly sought-after program for rural and regional students, accepting only 15 students per year across its Bendigo and Albury-Wodonga campuses.Applicants must complete a Rurality Form and apply through VTAC or UAC to be considered for a Multiple Mini Interview (MMI) held in the first week of December and January.Current Year 12 students need a designated staff member, such as their VCE or Year 11 Coordinator (or nominee), to complete this School Endorsement Form. These students will receive a La Trobe Entrance Rank (LTER) based on selection indicators from this form. The LTER and the Rurality Form will determine which Year 12 applicants are invited to an interview in December.Email your VCE or Year 11 Coordinator to request them to complete the School Endorsement Form for youSchool Endorsement Form: To be completed by a school representative only. Applicants should not submit this form themselves Important to understand:This form is only for applying to the Bachelor of Biomedical Science (Medical) degree at La Trobe University. It cannot be used for entry into other institutions or courses at La Trobe.Completing this form does not guarantee an invitation to the Multiple Mini Interviews (MMI) for the program. The information provided will only be used to calculate the La Trobe Entrance Rank (LTER) for interview shortlisting. It will not be used for any other purpose.This form is not a replacement for the applicants' current studies, which should remain their priority.Applicants must also complete the Rurality Form and provide evidence of living in a regional area (MMM2 – 7) for 5 consecutive years or 10 cumulative years. Acceptable documentation can be found here.To be offered a place, applicants must meet the minimum ATAR and entry requirements, complete the MMI, and rank competitively.In addition to submitting the School Endorsement and Rurality Forms, all applicants must apply through VTAC or UAC.By submitting this form, the designated staff member is declaring that the information provided is complete and accurate. Student/Applicant details Student first name * Student surname * Other given names Date of Birth * Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJuneJulyAugSeptOctNovDec Year 19001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078207920802081208220832084208520862087208820892090209120922093209420952096209720982099 Student email address School details Staff full name * Position title Email * Phone Name of school or institution * Address of school or institution State Post code Please score 1 – 5 with 5 being the highest score Academic achievement -- Please Select --12345 Engagement with school community activities -- Please Select --12345 Determination and dedication to their studies -- Please Select --12345 Communicates in a logical and reflective manner -- Please Select --12345 Year 11 academic achievement level -- Please Select --12345 Please select one of the Year 11 academic achievement level indicators * <65 65-75 76-85 Above 85 Supporting comments (Optional) Validation Confidentiality All information provided by applicants will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information to assess your application as part of the ranking and allocation process. In accordance with privacy laws, personal information about you contained in your application will not be used for any other purpose or disclosed to any person who is not part of the La Trobe assessment and allocation process, without your permission. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the La Trobe Rural Health School. The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy/
