AUSH Student Registration Form

Student Registration Form

Armadale University Study Hub
Welcome!

Please complete to initiate access to the support offered by Armadale University Study Hub.

Before you start, please make sure you have:
- Confirmed you are eligible. You are eligible if you are currently enrolled in a Certificate III or above at an Australian university or TAFE.
- Your Unique Student Identifier (USI), which you can find this here.
- Proof of your current enrolment (for example, a Statement of Enrolment).
Name

First NameLast Name
Preferred name
Mobile number
Email
example@example.com
Unique Student Identifier
10 characters - see USI Fact Sheet or if you don't happen to know your USI, Find your USI
Residential address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth

DayMonthYear
If you are under 18 years of age, parental/guardian consent is required before access approval to the Armadale University Study Hub is permitted, a member of the team will be in touch with you to arrange.
Date of Hub registration

DayMonthYear
Date
Type of registration
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?
1.2 Is your course subsidised by the Australian Government (Commonwealth Supported Place)?
1.3 Upload proof of current enrolment (optional)

Limit of 3 files and format: pdf, jpg, jpeg, png, gif
Cancelof
1.4 Indicate your expected usage of this Suburban University Study Hub by ticking one of the boxes below
2. About you
2.1 Do you identify as Aboriginal and/or Torres Strait Islander?
2.2 What is the highest level of education attained by your parents/guardians?
2.3 Do you have disability, an impairment or a long-term medical condition which may affect your studies?
2.4 Please select your age group
2.5 Do you have parental and/or carer responsibilities?
Parental responsibilities are defined as regular care for a dependent child.

Carer responsibilities are defined as regular care (which is not considered employment) to family members and friends who have a disability, mental illness, chronic condition, terminal illness, an alcohol or other drug issue or who are frail aged. For this question, carer responsibilities include but are not limited to those in receipt of carer payment.
2.6 Please select your gender identity
2.7 Main language spoken at home
If other, please specify:
Where did you hear about us?

Other
3. Emergency contact details
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Your consent
Name
Signature
Date

DayMonthYear
Date
The Armadale University Study Hub's Privacy Policy contains more information about how the Armadale University Study Hub will manage your personal information including information about how to make a complaint and seek access to and correction of your personal information.
Should be Empty:

Student Registration Form

1. About your study

2. About you

3. Emergency contact details

Your consent