Application For Student

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Apply for Student Member

First Name*

Middle Name

Last Name*

Title*

Date of Birth*

/ /

Gender

We recognise that gender identity can be expressed in different ways. Please select the option that best describes you.

Telephone*

Personal Email Address*

Your Personal University Email Address*

LinkedIn Profile

Personal / University Address

Personal Address Line 1*

Personal Address Line 2

Personal Address Line 3

Personal Town*

Personal County / State

Personal Postcode / ZIP

Personal Country*

About You

Working Toward Education Level*

Education Level (if Other)

Education Provider*

Education Provider (if Other)

Qualification Award Title*

Provide Proof of Enrolment*

Please provide a copy of enrolment document or letter.

Graduation Date*

Either the date of graduation, or, the anticipated future date of graduation

/ /

Start of Program*

Date of University Course Start

/ /

Ethnicity

We recognise that ethnicity is an important part of identity. Please choose the option that best reflects how you describe yourself.

Any information you share will be kept confidential and used only in an aggregated way to help us better understand and support our membership. Choosing not to provide details will not affect your application in any way.

Disability / Long-term Health Condition

We want to ensure our community is accessible to everyone. Please let us know if you consider yourself to have a disability or long-term health condition.

Do you consider you are neuro-divergent?

Sexual Orientation

We respect that sexual orientation is a personal matter. Please share only if you feel comfortable doing so.

Marital / Civil Partnership Status

We ask this question to help us understand the different life stages of our members.

Religion / Belief

We understand that religion and belief are personal. Please share what you feel comfortable with.

Thank you for taking the time to complete this section.

Digital Newsletters

Would you like to receive any of the following members' only, digital newsletters, coming in 2026?

Mentor / Mentee

From 2026 we are introducing our new mentoring scheme. If you are willing to support an earlier career member with their development, or would like to get some support please tick below. Mentors will be given guidance and support from RINA to undertake the role.

I would like to be a mentor

I would like to be assigned a mentor

Confirm*

I confirm the information entered is correct and I will update this information if it changes within a reasonable amount of time.

*Indicates a field you must enter.