Required fields are marked with an asterisk (*).
Please enter your University of Melbourne student ID
Please enter your University of Melbourne student email address
Please enter your mobile telephone number
Gender *
please enter year of birth (eg. 1990)
Study Level *
Please select your University of Melbourne faculty
Please enter your full course name
Please indicate the workshop you wish to be waitlisted for
Please enter the workshop date that you wish to be waitlisted for (24 March 2017 = 27/03/17)Please enter the workshop date that you wish to be waitlisted for (24 March 2017 = 27/03/17)
Please limit responses to 1 or 2 sentences