Registration Form

Student Name:


Student I.D. (if you have one):


Course Deferring from:


Contact details

Email (most regularly accessed):




Mobile Phone:




Home / Work Phone:




Gap Year Plus Proposal

Briefly describe your intentions across your Gap Year:


Briefing Sessions

Completion of a briefing session is compulsory before being fully registered into the Gap Year Plus Program.

 

This form can be submitted electronically or hand delivered to Building 5 Room 5C7 University of Canberra see Campus Map.