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First Name
Last Name
E-mail Address
Secondary Email
Birth Date
Mobile Number
Rural Health Club (If you are unsure on which Rural Health Club you are part of, find your university
here
).
Alumni
ARMS
AURHA
BREAATHHE
BUSHFIRE
CARAH
CRANC
CROHC
FURHS
HOPE4HEALTH
KRASH
LARHC
MIRAGE
MURHC
NERCHA
NOMAD
OUTLOOK
RAHMS
RHINO
RHPositive
RHUWS
ROUNDS
ROUSTAH
RUSTICA
SHARP
SPINRPHEX
STARRH
TROHPIQ
WAALHIIBE
WILDFIRE
Gender
Female
Male
Unspecified
Do you consider yourself as having a rural or remote background?
No
Unsure
Yes
Do you intend to work in a rural area in future?
Yes
No
Do you identify as Aboriginal or Torres Strait Islander?
No
Prefer not to say
Yes
State where you lived prior to commencing your degree
International or Domestic Student?
Domestic Commonwealth Support Place
International fee paying
Domestic fee paying
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National Rural Health Student Member (NRHSN)
Rural Health Club
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Education
Area of Study
Aboriginal and Torres Strait Islander health
Aboriginal Health Worker
Audiology
Chiropractics
Clinical Sciences
Dentistry
Disability and Development Education
Environmental Health
Exercise Physiology
Health Promotion/Public Health
Health Science
Medical Imaging/Radiation (sonography, radiography, radiology, nuclear medicine, etc)
Medical Science
Medicine
Midwifery
Nursing
Nutrition/Dietetics
Occupational Therapy
Ophthalmology
Optometry
Oral health
Orthoptics
Orthotics/Prosthetics
Osteopathy
Other Health related
Paramedics
Pharmacy
Physiotherapy
Podiatry
Psychology
Social Work
Speech Therapy
Previous Study
University
Australian Catholic University
Australian National University
Bond University
Central Queensland University
Charles Darwin Universit
Charles Sturt University
Curtin University
Deakin University
Edith Cowan University
Flinders University
Griffith University
James Cook University
La Trobe University
Macquarie University
Monash University
Murdoch University
Other
University of Adelaide
University of Canberra
University of Melbourne
University of New England
University of New South Wales
University of Newcastle
University of Notre Dame
University of Queensland
University of South Australia
University of Southern Queensland
University of Sunshine Coast
University of Sydney
University of Tasmania
University of Technology Sydney
University of Western Australia
University of Western Sydney
University of Wollongong
Victoria University
Student ID Number
Year of expected graduation
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