Connect 2 Success

Make an appointment

Your personal details will be treated confidentially and only a Connect 2 Success advisor will contact you. Your demographics are required for funding and research purposes and your name will be removed from any data that is collated from the use of this program.

I consent to my demographic data being used for research purposes.

Required information - Contact information

Name: requiredName is required
Gender:
Country of birth:
Email: requiredEmail address is required
Mobile phone:
Date of birth:
[dd/mm/yyyy]
ATSI descent:

Required information - Course information

Student number:
Course:
Faculty:
Stage of course:
Type of attendance:
Campus:

Required information - Appointment information

I would like to meet with a Connect 2 Success advisor.
I would like to receive a phone call from a Connect 2 Success advisor.
I am available at the following times:
Option 1:
Start Time:
End Time:
Option 2:
Start Time:
End Time:
How did you find us?

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CRICOS provider number 00109J
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Last Updated: Monday, 28 May 2012 12:14 PM AEST