GPSN membership application
Please fill out this form to apply to become a member with GPSN, or update your current membership details.
First name *
Your answer
Last name *
Your answer
Gender *
Date of birth *
MM
/
DD
/
YYYY
Email address (non-student email) *
(For example, gmail, hotmail, etc)
Your answer
Student email address *
Enter your university email (for example, name@university.edu.au)
Your answer
Mobile number *
Your answer
My university *
My expected graduation date *
Your answer
My student ID number *
This is the unique ID number given to you by your university.
Your answer
My current year of study
I am Aboriginal and/or Torres Strait Islander
I have read and agree to the privacy disclosure notice *
Read the notice here: gpsn.org.au/privacy-notice/
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