Student Mentor Program application form

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Student Mentor Program application form

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Complete this form to apply to become a student mentor

1.0 Personal details



2.0 Contact details
3.0 Program details
















4.0 Previous participation in the Student Mentor Program
5.0 Supporting statements
Information Privacy Notice

The University of the Sunshine Coast is collecting the information on this form to carry out its functions under the University of the Sunshine Coast Act 1998. The University may disclose some, or all of this information, to appropriate agencies if required including to the Commonwealth Department of Education, Science and Training, the Australian Taxation Office, etc. More information is available at http://www.usc.edu.au/privacy.

Form submission may take a few seconds. As confirmation of receipt, a copy of your request will be forwarded to your email address within the next few minutes. Please contact Julie Hobbins if you have any questions.

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