University of Melbourne No Header Page

Please note that fields marked with an asterisk (*) are mandatory.

Given name

Family name

If you are a past or current University of Melbourne student, please enter your student ID

Email address

Privacy information
The information on this form is being collected by The University of Melbourne for further communication regarding various courses, programs, events and faculties in which you have expressed interest. Information collected will only be used by authorised staff for the purpose for which it was collected and will be protected against unauthorized access and use. You can access any personal information the University holds about you. Contact Privacy Officer to find out more. The University's Privacy Policy is available online at Privacy Policy