Student Registration Form

Before you start, you’ll need:

  • To check you’re eligible. You’re eligible if you’re currently enrolled in a Certificate III or above at an Australian University, TAFE or study provider · Your Unique Student Identifier (USI). Find it here

  • A photo of your driver’s license or Student ID card

  • A PDF or photo of your proof of enrolment (must show your full name, study provider, and the units you are enrolled in for the current study period)

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Some of your personal information may be collected and shared with the Department of Education for reporting purposes.

1. About your study

1.1 What are you currently studying?

[If you are studying at more than one institution concurrently, please list all providers.]

(e.g. Bachelor)
(e.g. Bachelor of Business)
(e.g. Health)
(e.g. Face-to-face)
(e.g. Full-time)

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1.2 Have you ever been enrolled with another tertiary institution other than those you are currently enrolled with?
1.2 Have you ever been enrolled with another tertiary institution other than those you are currently enrolled with?
1.3 If you responded Yes to question 1.2, with which institution/s have you had previous enrolments? Please list below.
(comma-separated list)
1.4 Have you, or are you currently registered with any other University Study Hub?
1.4 Have you, or are you currently registered with any other University Study Hub?
1.5 If you responded Yes to question 1.4, please list the other University Study Hub/s below.
(comma-separated list)
1.6 Indicate your expected usage of the Mandurah Universities Centre Study Hub by ticking one of the boxes below.
1.6 Indicate your expected usage of this Suburban University Study Hub by ticking one of the boxes below.

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2. About you

2.1 Do you identify as Aboriginal and/or Torres Strait Islander?
2.1 Do you identify as Aboriginal and/or Torres Strait Islander?
2.2 Has any member of your immediate family attended university or undertaken post-secondary school study?

[For the purposes of this document, immediate family includes parents/guardians, siblings or children.]

2.2 Has any member of your immediate family attended university or undertaken post-secondary school study?
2.3 If you have responded Yes at question 2.2, please specify which family member has the highest level of qualification and the level they attained?
2.4 Do you have disability, an impairment or a long-term medical condition which may affect your studies?
2.4 Do you have disability, an impairment or a long-term medical condition which may affect your studies?
2.5 Please select your age group.
2.5 Please select your age group.
2.6 a. Do you have parental/carer responsibilities?

Carer definition: A person who has parental responsibilities for any child and/or provides regular care and support to family and/or friend/s who have a disability, mental illness, chronic condition, terminal illness, an alcohol or other drug issue, or an older person with care needs. For this question, carer responsibilities are not limited to those in receipt of carer payment.

2.6 a. Do you have parental/carer responsibilities?
b. For whom do you have carer responsibilities? [Please select all that apply]
b. For whom do you have carer responsibilities? [Please select all that apply]
b. For whom do you have carer responsibilities? [Please select all that apply]
b. For whom do you have carer responsibilities? [Please select all that apply]
2.7 Please select your gender identity.
2.7 Please select your gender identity.
2.8 Main language spoken at home.

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