Member Registration

Your First Name (required)

Your Last Name (required)

Address (required)

Address 2

City (required)

State (required)

Postcode/Zipcode (required)

Country (required)

Phone Number (required)

Your Email (required)

Student Number (required)

School (required)
---Arts & Social SciencesBusiness & TourismEducationEnvironment, Science & EngineeringHealth & Human SciencesLaw & JusticeGnibi College

Are you an enrolled postgraduate student at Southern Cross University? (required)
yes
Name of Degree(required)
---PhD (Research)PhD (Professional)Masters (Research)Masters (Course work)Graduate DiplomaGraduate CertificateHonours
Type of enrolment (required)
---Full timePart time
On or off campus study (required)
---DistanceOn Campus
Campus most visited/associated with (required)
---Coffs HarbourLismoreGold CoastSydneyBroken HillOverseasother
Closest main city (required)

I hereby affirm and declare that I am currently enroled in a postgraduate and/or honours course of study at Southern Cross University and that the above information is correct. I hereby apply for membership of SCPA Inc. and I agree to abide by the rules of the association (required)
yes
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