La Trobe University > School of Psychology and Public Health > La Trobe Psychology Clinic > Group programs enquiry form

Group programs enquiry form

Please use our online form to submit an enquiry for one of our group programs.

 

Personal details
Date of Birth *
Additional information
Concession card/Full time student status
Do you consent to receive email and SMS reminders
Which group program are you enquiring about?
Validation

 

Confidentiality

All information provided will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application in order to handle your enquiry. In accordance with privacy laws, personal information about you contained in your enquiry will not be used for any other purpose. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the La Trobe Psychology Clinic via email at psych-clinic@latrobe.edu.au The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy/