Register

Join your fellow student members!

Please complete the form below to become a member of MIRAGE Rural Health Club and join in the fun!

Once your membership has been approved, you will have access to this site and be able to sign in using your email address and password you supply below.

First Name*

Last Name*

Email*

Date of Birth*

Mobile Number*

Gender*

Do you consider yourself as having a rural or remote background?*

Do you identify as Aboriginal or Torres Strait Islander?*

Subscribe to the following emails

National Rural Health Student Member (NRHSN)Rural Health ClubRural Health Workforce Australia (RHWA)Rural Workforce Agency (RWA)

Password*

Confirm Password*

Education

Area of Study*

Discipline (Other)

University*

Student ID Number*

Year of expected graduation*

Employment

Job title

Start Date

End Date

Privacy Policy

Do you accept NRHSN's privacy policy? *

Verification*

Type the characters you see in the image above:

Join your fellow student members!

Education

Employment

Privacy Policy

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