Student Membership Application

[soto_signup]

Full name *

Date of birth *

Mobile number *

Email (non-university) *

Postal Address *

Suburb *

State *

Postcode *

Student ID (if any)

Degree name *

University *

Campus *

Start Year *

Expected Graduation *

Additional tertiary study?

Degree / Course name

University

Admission Year

Completion Year

Attended SOT Seminar/Workshop?

I declare that the information provided is true and correct.

Typed Signature (Full Name) *

Signature Date