Student Profile Form

Either when you send in your first assignment, or even before if you can, please let me know something about yourself.

We would be interested to hear about what you are currently doing, your previous relevant experiences and what you anticipate getting from the unit. This information will assist us to provide appropriate feedback when marking your assignments.

Unit Title:
Unit Code:
Name *:

Address:

Ph: (hm)
Ph: (wk)
Fax:
Email *:

Are you willing to share your contact information with other students in this unit? * Yes No

Current Circumstances:

Reasons for undertaking this unit: *

Other Comments:

* this information is required