MacKillop House Application form


Your name *
Your name
Please note - fields marked * are essential to complete.
Your date of birth *
Your date of birth
Please note: MacKillop House is open to those who are over the age of 18 years as at the time of becoming a resident.
To assist us in allocating rooms at MacKillop House, please tell us where you are at in your educational journey:
All applicants, please add any information that you think would assist MacKillop House in considering your application:
Your residential address where you live now
Your residential address where you live now
Your postal address
Your postal address
if different from your residential address where you live now
Do you have disabilities of which MacKillop House should be aware in providing a safe and secure environment? Please note: the majority of rooms in MacKillop House are located on an upper level, accessed by stairs only. *
Do you have health issues of which MacKillop House should be aware in providing a safe and secure environment? *
Specific dietary requirements *
(Please note: unfortunately our kitchen is not equipped or certified to meet halal or kosher requirements)
When living at MacKillop House, which educational institution do you plan to attend:
Planned commencement date for your course:
Planned commencement date for your course:
Emergency Contact - Name *
Emergency Contact - Name
Emergency Contact - Address
Emergency Contact - Address
I understand that places are limited at MacKillop House, and that an interview forms part of the application process: *
I agree to abide by the Conditions of Stay for MacKillop House if offered a place as a resident: *
I declare that the information provided in this application is true and correct: *

The Conditions Of Stay at MacKillop House are available to download 

INTERVIEW ARRANGEMENTS

Applicants will be contacted to arrange an interview. Interviews are usually conducted in person at MacKillop House. However, in the case of international or interstate students alternative arrangements may be made in consultation with the Manager.