Indigenous Tutorial Program (Student Application)

First Name
Surname
Gender
Date of Birth
Are you Aboriginal or Torres Strait Islander or both?
University of Newcastle Student Number
Preferred telephone contact number
Student Email Address
Are you a commencing or continuing student
Have you received Indigenous Tutorial Assistance in the past?
Please indicate your current level of study
What is the name of your current course of study?
Have you contacted your Student Engagement Officer to discuss your tutoring requirements?
Please provide all subjects and codes in which you require academic assistance

Course Name Course Code(s)
Please nominate one or more of the following four areas where you need assistance or nominate other areas below:

Any other additional comments in relation to the type of academic assistance required not specified above or specific tutor request:

Have you provided your Confirmation of Aboriginality (CoA) to Wollotuka ?
Confirmation document
Declaration