Student Registration

Please Complete The Form Below

Personal Details

Please complete the required fields in this section. Other fields are optional. If you are not yet an enrolled student but would like to find out more, please email

Full Name(Required)

Residential Address(Required)

Phone Number(Required)

Email(Required)

Emergency Contact (name and number)(Required)

Gender

Are you of Aboriginal or Torres Strait Islander origin

Age(Required)

Access Requirements

Do you have any access requirements we need to be aware of? If so, please describe.

Level of education

What is the highest level of education you have previously completed?

Family study history

Do you have any immediate family members who have completed a university degree?

Things we should know

Is there anything important we should know about you e.g. health conditions, allergies?

Study Details

USI(Required)

Unique Student Identity Number

Study Hub Location

Study Provider(Required)

Which university, TAFE or college are you a student at?

Student Number

Level and full title of course(Required)

e.g. Bachelor of Education (Primary)

Study Status

Study Mode

Support Preferences(Required)

What best describes the support you would like from the study hub. Select all that apply.

Enrolment help

Study space

Computer/ printer access

Internet access

Mentorship and wellbeing support

Academic skills support

Collaborative learning environment

Consent for photography(Required)

Do you agree for photos of you to be used on the Lumen WRUC marketing platforms e.g. social media, flyers, posters etc.

Student Agreement(Required)

I agree to the below statement

In completing this registration and induction, I agree to comply with the policies and procedures of Lumen Wheatbelt Regional University Centre, in particular: - Treat staff, peers and the environment with courtesy and respect at all times - Online activities (including research) will be for the purposes of study and materials accessed be both legal and ethical - Software programs and apps will not be downloaded - Use of storage will be for study-based files and documents only - Printing will be for study-based documents only - IT issues will be reported to Lumen staff rather than self-trouble shot. Each student will be provided a Student Code of Conduct via email once registration is complete.

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