Univative Programs

Student Application Form

Please check that all details you have entered are correct. Click on submit to send your form.
Student No:
Family Name:
Given Name:
Gender (Required for Group Placement):
Student Status:	&
Program Applying for:
Contact Phone:
UOW Email:
Faculty enrolled in:
Discipline & major/s:
Year commenced studies:
In 200-250 words please express why you have applied for Univative. Include a brief description of any prior work or voluntary experience.
(Optional) Do you identify as a student from any of the following equity groups?:	An Aboriginal or Torres Strait Islander student A student from a family with a low income. A student who speaks English as a second language. A student with a disability. A female student who is studying in a non-traditional area (e.g. engineering). A student who cares for someone with a disability. A student from a rural or isolated area.
I understand that participation in Univative includes enrolment in INTR100: Yes : :No

Last reviewed: 23 October, 2012