Request for further information / Registration of Interest

These details will be recorded in a secure database and prospective students will be kept informed of events and changes to courses. Your details provided will be only used for internal University purposes. Our full privacy policy can be viewed here.

Please ensure your email address is correct as this will be the primary means of communication.

This is not an application for admission to the University. Please visit the Future Student section for the relevant Campus for application information.

Fields marked with a * are required fields.

PERSONAL DETAILS

Title*
First Name*
Surname*
Date of birth(ddmmyyyy)*
Gender*
Street Number and Name/PO Box*
City/Town/Suburb*
State
Postcode*
Country of Residence*
Home phone number*
Cell/Mobile phone number
Fax Number
Email Address*

CITIZENSHIP *

Australian citizen or permanent resident
New Zealand citizen
International citizen - please include country of citizenship*

ABORIGINAL AND TORRES STRAIT ISLANDER APPLICANTS

Neither Aboriginal nor Torres Strait Islander origin
Of Aboriginal origin
Of Torres Strait Islander origin
Of Aboriginal and Torres Strait Islander origin

PRIMARY CAMPUS OF INTEREST *

(Selecting a campus will reload the form and filter the Course of Interest list)
Broome Campus
Fremantle Campus
Sydney Campus

COURSES AND AREAS OF INTEREST

You must select at least one of either Area of Interest or Course of Interest *

Areas of interest
 
 
Courses of interest
 
 

PLANNED COMMENCEMENT DATE *

OTHER CAMPUS OF INTEREST




OTHER INFORMATION REQUIRED

Academic Scholarships
Accommodation
Fees
Alternative Entry (Bridging courses)
Study Abroad

STUDENT TYPE *

Completed or Completing Year 12 or equivalent in
 School Name
 School Name