Event Booking Request

Thank you for your interest in attending an event at the University of Wollongong (UOW) or Wollongong College Australia (WCA). Please provide your personal details, together with other relevant information below. All information will be treated as confidential.

A confirmation of your booking will be forwarded to you within the next few days.

Mandatory fields are indicated by bold titles.

Contact Details

Please provide prospective student details only.


	Title:
	Given Name:
	Family Name:

	Phone (Home)	(Work):
	(Mobile):

	Email:

	Nationality:

	Date of Birth:	(day) (month) (year)

	Current Address:

	Suburb / City:
	State / Region:
	Postal Code:
	Country:

Event Booking

Additional information fields will be visible once you have selected your event of interest. Please provide this information prior to submitting this form. Enter N/A if question is not applicable.


	Event of interest:
	Current level of study:







	How did you hear about event?
	Media type, if relevant:
	Do you have any further questions or special needs?

The University of Wollongong (UOW) is committed to protecting your privacy. Under both the Privacy and Personal Information Act 1988 (NSW) and the Privacy amendment (Private Sector) Act 2000 (Cth), UOW (including its controlled entities) will take all reasonable steps to ensure that the collection, use, disclosure and handling if your information complies with the law. The Privacy Policy for UOW may be viewed at www.uow.edu.au/about/privacy or by calling 1300 367 879. The Privacy Policy for Wollongong College Australia (WCA) may be viewed at www.wca.uow.edu.au/privacy.

University of Wollongong
Wollongong NSW 2522 Australia
Telephone +61 2 4221 3555

CRICOS Provider No: 00102E
Privacy, Disclaimer and Copyright Information 2003
Feedback: uniadvice@uow.edu.au