Red Shirt Application Form

Become a Red Shirt today!

Fields marked with an asterisk* are required.

Name *
Address *
Suburb *
Postcode *
Phone
Mobile
Email *
Faculty *
Course *
Course Year in 2010 *
Campus *
T-Shirt Size *
Have you been a Red Shirt before? *
Yes
No
Were you referred to the Red Shirt program by a current Red Shirt? *
Yes
No
If yes, who?
Why do you want to be a Red Shirt? *
What qualities do you think make a good Red Shirt? *
List your experience with DUSA or experience in a similar role *
Are you a DUSA member? *
Yes
No
Enter Characters *
Please enter the 5 characters you see on the left into the text box on the right.
Send Application!