Pilot Buddy Program Autumn 2020 Expression of Interest

Required fields are marked with an asterisk (*).

Student Number: *

Title:

-- Please Select --MissMrMrsMs

First Name: *

Family Name: *

Phone: *

Email * WSU student email only (Student ID then @student.westernsydney.edu.au)

Alternate email

Student Status *

-- Please Select --Exchange studentStudy Abroad studentWestern Sydney University student

Level of Study: *

-- Please Select --UndergraduatePostgraduate coursework

Main area of Study * E.g Bachelor of Arts

Your Western Sydney University Campus: *

-- Please Select --BankstownCampbelltownHawkesburyLiverpoolParramatta SouthParramatta CityPenrithSydney City Campus

Arrival date in Australia This question is for Exchange and Study Abroad students only.DD/MM/YYYY format

Please tell us about your hobbies, interests and personality

How would the support of a buddy benefit you? This question is for Exchange and Study Abroad students only.

Why would you like to be a buddy for the incoming Exchange and Study Abroad students? This question is for Western Sydney University degree program students.

Are you a Go Global Ambassador? This question is for Western Sydney University degree program students.

-- Please Select --YesNoNo, but I am interested in becoming one

Consent for sharing of contact details to buddy

By submitting this form, I fully consent to Western Sydney University providing my full name and Western Sydney University email address to the allocated buddy/buddies.

• Yes