ANUSA Student Intake Form 2024
The information collected on this form enables the ANUSA Student Assistance Team to provide a confidential support and referral service. By filling in the form, you consent to this information being collected and used by the Association.
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Name
Student ID *
Pronoun (e.g: She/Her, He/Him, They/Them etc.) (optional)
Mobile (optional)
Are you a domestic or international student?
Clear selection
Are you an Undergraduate (including honours) or Postgraduate student?
Clear selection
What program are you enrolled in (e.g: Bachelor of Arts)?
What academic college are you in?
What year of study are you in? (eg. 1st year, honours etc)
Are you living off campus or on campus?
Clear selection
The information collected on this form and in our appointments enables the Association’s Student Assistance Team to provide a confidential support and referral service. We will not disclose information provided to us in this form or in our appointment to the University or other third-parties unless there is a threat to your safety, or the safety of others. By agreeing below, you consent to this information being collected and used by the Association.
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