SRC Expression of Interest

1

Full Name* This field is required.

First Name

Last Name

2

Preferred Name

3

Date of Birth* This field is required.

Date

4

Email Address* This field is required.

firstname.lastname@uon.edu.au

5

What are your pronouns?* This field is required.

6

Phone Number* This field is required.

Please enter a valid phone number.

7

Are you a current University of Newcastle (UoN) student with at least 12 months of study remaining in your program?* This field is required.

Yes, I am a current student

No, I am not a current student

No, I am a current student with less than 12 months remaining in my program

8

Please provide details.* This field is required.

9

UoN Student Number* This field is required.

10

What is your current degree program?* This field is required.

11

Are you employed on a full-time basis at the UoN or any of its controlled entities?* This field is required.

YesNo

12

Have you been subject to academic, non-academic or research probation, suspension or exclusion?* This field is required.

YesNo

13

Please provide details* This field is required.

14

Are you looking to apply for a position on the Student Representative Council (SRC) or a position on an Advisory Group/Student Senate?* This field is required.

SRCAdvisory Group/Student Senate

15

Please indicate which position/s you are interested in applying for in order of preference* This field is required.

16

Do you have parental or family responsibilities?* This field is required.This includes caring for a dependent child or supporting an immediate family member in need - such as due to illness, injury or experiences of family or domestic violence as recognised under the Sex Discrimination Act 1984.

YesNo

17

Are you registered as a member of the ALLY network?* This field is required.

YesNo

18

In order to serve as Queer Officer, you must sign up to the ALLY network. Please send an enquiry to EDI@newcastle.edu.au asking to become an ALLY prior to submitting this form.

19

Have you established your Aboriginal and/or Torres Strait Islander status with the University?* This field is required.

YesNo

20

In order to serve as First Nations Officer, you must have registered your Aboriginal and/or Torres Strait Islander status with the University. Please register here prior to submitting this form.

21

Are you registered with AccessAbility?* This field is required.

YesNo

22

In order to serve as Accessibility Officer, you must be registered with AccessAbility. Please register here prior to submitting this form.

23

Do you identify as a woman?* This field is required.Including cisgender and transgender women, in accordance with the definition of 'woman' under the Sex Discrimination Act 1984.

YesNo

24

Are you currently residing in on-campus accommodation, without plans to move for the duration of the tenure of the role?* This field is required.

YesNo

25

Please indicate up to three groups you would be interested in joining in order of preference* This field is required.

26

Do you confirm that you are an international student at the University of Newcastle, and that you comply with the full-time study load obligations as defined by the University and relevant visa conditions?* This field is required.

YesNo

27

Are you currently enrolled in a postgraduate program?* This field is required.Recognised postgraduate programs at the University of Newcastle include graduate certificates, graduate diplomas, mastres degrees (by coursework or research) and doctoral degrees (e.g. PhD or professional doctorates).

YesNo

28

Are you enrolled in a program that is delivered primarily (≥75%) at one or multiple of the Newcastle Campuses?* This field is required.This includes Callaghan, Nuspace, the Conservatorium of Music and the Q Building

YesNo

29

Are you enrolled in a program that is delivered primarily (≥75%) at one or multiple of the Central Coast Campuses?* This field is required.This includes Ourimbah, Gosford and Mann Street

YesNo

30

Are you enrolled in a program that is delivered primarily (≥75%) on the Sydney Campus?* This field is required.

YesNo

31

Are you enrolled in a program that is delivered primarily (≥50%) on the Cloud Campus?* This field is required.i.e. through online courses

YesNo

32

Why are you interested in joining the SRC?* This field is required.Maximum 500 words

0/500

33

If you have a CV you would like to attach, please do so here

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Select files to upload

Max. file size: 10.6MB

34

Sorry, you are not eligible to apply for the SRC. If you have enquiries about your eligibility, please contact the UNSA Advocacy and Governance team via unsa-src@newcastle.edu.au

35

In order to serve as Women's Officer, you must identify as a woman, including cisgender and transgender women, in accordance with the definition of 'woman' under the Sex Discrimination Act 1984. If you would like to discuss this further, please contact the UNSA Advocacy and Governance team at unsa-src@newcastle.edu.au

36

In order to serve as Parents and Carers Officer, you must have parental or family responsibilities. If you would like to discuss this further, please contact the UNSA Advocacy and Governance team at unsa-src@newcastle.edu.au

37

In order to serve as Newcastle Campuses Convenor or sit on the Newcastle Campuses Advisory Group you must be enrolled in a program that is delivered primarily (≥75%) at Callaghan, the Conservatorium of Music, NuSpace or Q Building (inclusive). If you would like to discuss this further, please contact the UNSA Advocacy and Governance team at unsa-src@newcastle.edu.au

38

In order to serve as Sydney Campus Convenor or sit on the Sydney Campuses Advisory Group you must be enrolled in a program that is delivered primarily (≥75%) on the Sydney Campus. If you would like to discuss this further, please contact the UNSA Advocacy and Governance team at unsa-src@newcastle.edu.au

39

In order to serve as Central Coast Campuses Convenor or sit on the Central Coast Campuses Advisory Group you must be enrolled in a program that is delivered primarily (≥75%) at Ourimbah, Gosford or Mann Street (inclusive). If you would like to discuss this further, please contact the UNSA Advocacy and Governance team at unsa-src@newcastle.edu.au

40

In order to serve as Cloud Campus Convenor or sit on the Cloud Campus Advisory Group you must be enrolled in a program that is delivered primarily (≥50%) on the Cloud Campus. If you would like to discuss this further, please contact the UNSA Advocacy and Governance team at unsa-src@newcastle.edu.au

41

In order to serve as International Students' Senate Convenor or sit on the International Students' Senate you must be an international student at the University of Newcastle who complies with the full-time study load obligations as defined by the University and relevant visa conditions. If you would like to discuss this further, please contact the UNSA Advocacy and Governance team at unsa-src@newcastle.edu.au

42

In order to serve as Postgraduate Students' Senate Convenor or sit on the Postgraduate Students' Senate you must be currently enrolled in a postgraduate program and making satisfactory academic progress in accordance with the University's Enrolment Policy and the requirements of the program. Acceptable types of programs include Masters and PhD programs. If you would like to discuss this further, please contact the UNSA Advocacy and Governance team at unsa-src@newcastle.edu.au

43

In order to serve as Student Accommodation Representative you must be residing in on-campus accommodation, without plans to leave for the duration of the tenure of the role. If you would like to discuss this further, please contact the UNSA Advocacy and Governance team at unsa-src@newcastle.edu.au