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*

NewRe-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 Upload proof of current enrolment (optional)

Limit of 3 files and format: pdf, jpg, jpeg, png, gif
Cancelof
1.3 Indicate your expected usage of this Suburban University Study Hub by ticking one of the boxes below*

High (approx. 3-5 days/week)Medium (approx. 1-2 days/week)Low (approx. 1 day/fortnight)Very low/irregular (approx. once/month)
2. About you
2.1 Do you identify as Aboriginal and/or Torres Strait Islander?*

Yes - AboriginalYes - Aboriginal & Torres Strait IslanderYes - Torres Strait IslanderNoPrefer not to say
2.2 What is the highest level of education attained by your parents/guardians?*

Postgraduate qualification (eg. Postgraduate Diploma, Masters, PhD)Bachelor DegreeOther post school qualification (e.g. VET Certificate, Associate Degree or Diploma)Yr 12 schooling or equivalentYr 10 schooling or equivalentDid not complete Year 10 schooling or equivalentDon’t knowPrefer not to say
2.3 Do you have disability, an impairment or a long-term medical condition which may affect your studies?*

YesNoPrefer not to say
2.4 Please select your age group*

17 or under18 - 2425 - 2930 - 3435 - 3940 - 4950 - 5960+Prefer not to say
2.5 Do you have parental and/or carer responsibilities?*

Yes - Parental ResponsibilitiesYes - Carer ResponsibilitiesYes - both Parental and Carer ResponsibilitiesNoPrefer not to say
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*

MaleFemaleX (Indeterminate/Intersex/Unspecified)Prefer not to say
2.7 Main language spoken at home*
If other, please specify:
Where did you hear about us?

Search enginesSocial mediaStudy hub websiteCity of Armadale websiteWord of mouthOther
3. Emergency contact details
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Your consent
I confirm that I have read, understood and agree to the collection of my personal information, including my sensitive information, in accordance with the Armadale University Study Hub’s privacy statement.
I confirm that I have read, understood and agree to the Armadale University Study Hub’s Terms and Conditions.
Name*
Signature*

Clear
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