Please complete this survey prior to your meeting with Guidance Officer. Print a hardcopy and bring to the meeting.

Question Title

* 1. First Name

Question Title

* 2. Surname

Question Title

* 3. ARC Class ( Format e.g. 12M)

Question Title

* 4. Personal email address (non Education Queensland email)

Question Title

* 5. Who is your OP provisional mentor?

Question Title

* 6. What is your tertiary education plan for 2018?

Question Title

* 7. Location of Universities (or TAFE, College) you intend to apply.

Question Title

* 8. For QTAC applications fill in preferences, please follow format;
Full Course Name as printed in QTAC Guide,
University,
QTAC course code,
OP/rank

Question Title

* 9. If you plan on applying for scholarships please select from options below

T