Privacy Consent

* Denotes a mandatory field

Personal Details

Avondale ID Number: *
First Name: *
Last Name: *
Email: *

Provide Consent

I consent to Avondale giving information about me to the following person or organisation. Please submit one form per person or organisation. *

PersonOrganisation

First Name: *
Last Name: *
Organisation Name: *
Position Title: *
Contact Number: *
Personal Email Address: *
Street Address: *
Suburb: *
State/Territory: *
Postcode: *

What is the person or organisation's relationship to you? *

Your Information

Avondale will share all information in your student record with the chosen person or organisation unless you let us know what you don’t want us to share. If any, please select the information you don’t want us to share.

DO NOT SHARE:
Check all that apply.

My Avondale ID number
My name and date of birth
My address, email and contact number
Details about my application and admission
Details about my course and units
Details about my grades and progression
Details about my graduation

NOTE: Contact [email protected] to give your consent to share your financial information.

By submitting this acknowledgement form, I declare that:

The information given is factually correct and honestly presented.
I understand Avondale will not release my information until the person or organisation verifies their identity using the information supplied in this letter.
I must notify Avondale if I choose to take away this consent.

IMPORTANT: Upon submitting this form, you will receive a confirmation email. If you do not receive the email, contact the Student Onboarding Team by emailing [email protected] or call +61 2 4980 2377.