Rise with La Trobe: Registration form Tell us a little about yourself, your study aspirations and what you want to get out of Rise with La Trobe. Personal detailsDo you identify as Aboriginal or Torres Strait Islander? * Yes No Full name * Email address * Contact number * What is your gender? You can write prefer not to say Preferred pronouns Do you identify as Neurodiverse? * Yes No Prefer not to say If you answered yes, is there anything we can do to best support you/do you have any adjustments we can facilitate? Additional detailsIf you attended school, which school did you attend? If you have answered yes to the above, what year are you in? How did you find out about Rise with La Trobe? * At school On the internet From a community member By a poster or advertising Other I am interested in the following disciplines * Select all that apply Social Sciences (Gender studies, Arts, History, Archaeology, Politics, Legal Studies, Sociology) STEM (Science, Environment, Biomedical Science, Forensic Science, Horticulture, Biology) Sports and related industries (Sports Science, Sports Business Management, Occupational therapy, etc) Health (Medicine, nursing) Psychology, Social Work and Community Services Business, Finance, Accounting, Economics Law and criminology Something else Activities * Let us know what kind of activities you would like included in Rise with La Trobe Your thoughts The next section is asking you to let us know if you would like us to run the following activities: I would like to receive a conditional offer after I finish Rise with La Trobe * Yes No I would like to attend a Cultural Camp with other Indigenous students from across the state * Yes No I want to know what 'the day in the life of a student' looks like * Yes No I want to attend the university for a day * Yes No I would like to talk to someone who is currently working in my dream career * Yes No I would like to attend sporting activities and events * Yes No I would like a private tutor to help with my high school studies * Yes No I would like a university mentor to provide Cultural and professional guidance * Yes No I would like to attend a mock lecture * Yes No Please let us know if you have any ideas about activities you would like included as part of Rise with La Trobe: Validation Confidentiality All information provided will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application in order to register you to our program. In accordance with privacy laws, personal information about you contained in your enquiry will not be used for any other purpose. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the Office of Indigenous Strategy and Education via email at Indigenous_enquiries@latrobe.edu.au The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy/
