Participate in studies

Given name *

Family name *

Age *

Gender *

• Male
• Female
• Indeterminate/Intersex/Unspecified

Your La Trobe campus *

• Bundoora
• Bendigo
• Albury-Wodonga
• Other

Are you an Australian citizen? *

• Yes
• No
• I don't know

Is English your first language?

• Yes
• No

If you answered "No" above, please enter your first language:

Your course and the year you are currently studying * (e.g. BSc first year)

Are you an international student? *

• Yes
• No

Home telephone

Mobile telephone

Acceptable telephone hours * Please indicate the earliest and latest times we can telephone you.

Email *

Are you available during semester breaks? *

• Yes
• No

Registry duration *

Please indicate how long you wish to remain on the registry.

• This year only
• Two years
• Three years

Validation