Register - National Rural Health Student Network

Username or E-mail*

First Name*

Last Name*

E-mail Address*

If possible, please use your university email address that ends in .edu.au

Secondary Email

Birth Date*

Mobile Number*

Rural Health Club (find your university HERE).

Find your university's Rural Health Club HERE

Rural Health Club role

Gender*

FemaleMale

Unspecified

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

Do you intend to work in a rural area in future?*

Do you identify as Aboriginal or Torres Strait Islander?*

Where did you lived prior to commencing your degree?*

Are you an international or domestic student?

Password*

Confirm Password*

Current Area of Study

Previous Study

University*

Student ID Number*

Year of expected graduation*

Do you accept NRHSN's privacy policy?

Only fill in if you are not human