Medical Science Encounter - Expression of Interest Form

Personal Details

Full name (required)

Name of school (required)

Current year (required)

Email (required)

Phone (required)

Home address (required)

Suburb (required)

State

Postcode (required)

ATAR Subjects

Please list all of your ATAR subjects.

Additional Information

In 300 words or less, please tell us why you would like to attend PBI’s Medical Science Encounter Workshop? Please mention any areas of interest relevant to the workshop, University aspirations and desired career paths. (required)

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