WSP EOI 2025 SEM 1

1

Expression of Interest

Please complete this form to express your interest in the Water Safety Program for Semester 1, 2025.

Collection Notice

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2

Full Name* This field is required.As on your UoM student card

First Name

Last Name

3

Preferred First Name* This field is required.

5

Student Number* This field is required.

6

Student Email* This field is required.

You will not be able to submit the form without a student email.

7

Mobile Number* This field is required.

8

Are you an International student?* This field is required.

YESNO

9

Please select your country of birth* This field is required.

10

Remaining years of study at the University of Melbourne* This field is required.

11

If we ran another WSP in October & November 2024, would you be available? * This field is required.Answer 'no' if you would be unable to attend at least 5 of the 8 weeks of classes

YESNO

12

Have you participated in a previous Water Safety Program?* This field is required.

YESNO

13

14

Program

2025 S1

15

Desired level/standard?* This field is required.

Level One (1)

Level Two (2)

Level Three (3)

Level Four (4)

Student Swim Squad (5)