STEM Academy Year 12 Program Student Registration

Personal Details

First Name *

Last Name *

Date of Birth *

High School *

What year level will you be in, in 2022? *

Email Address *

Mobile Phone *

Postal Address *

Suburb/Town *

Post Code *

Citizenship Status *

Do you identify as Aboriginal or Torres Strait Islander? *

Study Details

What STEM degree are you most interested in studying at University? *
Please note that this information is used by us to help support your decision-making process and will not affect your early conditional offer