Uni Nationals stand alone expression of interest

Each sport you apply for will require a separate application.

Required fields are marked with an asterisk (*).

Your details

First name *

Last name *

Date of birth *

Gender *

Email *

Phone *

Student ID: *

Home campus *

Mode of study *

Do you identify as a First Nations Australian? *

Are you an athlete with a disability? *

Emergency contact information

Emergency contact person *

Emergency contact number *

Medical condition

Do you have a medical condition(s)? *

if yes, please state (include any allergies or medication)

Sporting achievements

Your highest level of achievement in sport (essential information to be eligible for selection) *

Year of achievement *

Current team you are playing for and division (if applicable)

Preferred position in team (if applicable)