Register of interest

First name*

Surname*

Address*

Suburb/city*

Post code*

Email (Please ensure your email address is correct as this will be the primary means of contact)*

University you're attending:
-- select one -- Australian Catholic University Australian National University Bond University Central Queensland University Charles Darwin University Charles Sturt University Deakin University Flinders University Griffith University James Cook University La Trobe University Macquarie University Macquarie University Queensland University of Technology Southern Cross University University of Canberra University of Canberra University of New England University of New South Wales University of Newcastle University of Queensland University of Southern Queensland University of Sydney University of Technology, Sydney University of the Sunshine Coast University of Western Sydney University of Wollongong Other

If other, please specify

Expected date of completion*

Degree (e.g. Bachelor of Engineering)*

Major (e.g. Civil)

Current GPA*

Location preference:*
-- select one -- Any location Atherton Ayr Bajool Barcaldine Beenleigh Biloela Blackall Bowen Brian Pastures Brisbane Bundaberg Burleigh Caboolture Cairns Cardwell Charleville Charters Towers Chillagoe Chinchilla Cleveland Cloncurry Cooktown Cunnamulla Daisy Hill Dalby Emerald Gatton Gayndah Georgetown Gin Gin Gladstone Goondiwindi Gympie Hughenden Ingham Inglewood Innisfail Ipswich Kairi Kingaroy Longreach Mackay Manly Mareeba Maroochydore Maryborough Millmerran Mission Beach Moggill Monto Moreton Bay Regional Mossman Mount Isa Mundubbera Murgon Nambour Port Douglas Quilpie Robina Rockhampton Roma Rosslyn Bay South Johnstone St George Theodore Tinaroo Toowoomba Townsville Wandoan Warwick Weipa Whitsunday Winton

Skills you wish to acquire by working at DERM (3 dot points only)*

Please register your interest by selecting the relevant box(es) below:

Industry placement:

Work experience:

Vacation employment: