2013 Mentee Registration

[ Registration Form ]

Given Name

Family Name

Student Number

(no z or s )

Sex

Female
Male

CSE login (if known)

Please supply a private email address and/or phone number so that your Mentor can contact you.
This is optional, but without it we may find it difficult to get you involved.

Email:
Phone:

What Program Degree are you enrolling in? (if a double please list your Computing Degree)?

Would you prefer a mentor who is:

Female
Male
Rural
International/ESL
I don't have a preference

If you answered " International/ESL" for the above question then what is your "Preferred" Language & Dialect:


If other:

If you are going to live in a residential college in 2013, please select which one:

The Program begins during O-Week on Friday 1st March with a Photo Scavenger Hunt and Welcome Party (2:00-8pm). Will you be available?

Yes
No

I'd like to be a mentee