Topic Rep Registration Form

Topic Rep Registration Form
Thanks for your interest in being a Topic Rep!

Before registering, please speak with your Topic Coordinator and agree on your intention to work together this semester.If you are applying for two topics, please register separately for each topic (i.e. you complete the form twice). Students can hold a maximum of two Topic Rep positions each semester.

This registration form is going to gather your details and the details about the Topic. Your registration is approved by the Topic Coordinator and, once approved, you will receive information on training and support.

- FUSA Student Representation Team
Your details
Name*

First NameLast Name
Student ID number*
Flinders Email*
fan1234@flinders.edu.au
ManWomanNon-binary / gender diversePrefer not to sayMy gender identity isn't listed. I identify as:
Campus*
YesNoUnsure
Topic Details
Topic*
You can enter Topic Code or start typing the name to get the full title and code
Topic Coordinator Name*
Topic Coordinator Email*
prof.name@flinders.edu.au
College of Science and EngineeringCollege of Medicine and Public Health
Semester 1Semester 2Non-semester (first half of the year)Non-semester (second half of the year)
Undergraduate (Bachelors-level)Postgraduate (Masters-level)Unsure
Submitting this form

Your contact information will be sent to your Topic Coordinator, FUSA, and available to other Topic Reps on the Student Reps Space. FUSA will contact you regarding training once your registration is confirmed. The Privacy Act 1988 (Commonwealth) applies to this information and you can access or change it at any time at the FUSA office.
I understand that my details will be used for the purposes listed above.
Should be Empty:

Topic Rep Registration Form

Your details

Topic Details

Submitting this form