Application for New UQ Alumni Membership
ABN 63 942 912 684
Fill out sections required, print and sign the form. Fields marked * are compulsory
Title (Mr,Mrs,Ms,Dr,etc.)
Last Name *
First Name and other initials *
Date of Birth *
As required by the Broadcasting Services Act
Home Address *
Email Address *
Phone No. * (At least one)
   Home     Work     Mobile  

Previous UQ Student Number
UQ Awards (eg. BSc, DipEd, MA) and year(s)
  If you have used features in 'My record' eg. My Lists, Reading history, Preferred searches or Record feeds, and would like to maintain them on your Alumni record, please check this box.
 
Conditions of Membership
  1. Starting date: you may choose to commence your membership either before, or after your graduation / conferment date. Of the two options listed below, the earliest finish date will apply:
     
    • Apply before your graduation / conferment date: membership is valid for 12 months after the date that you apply.
    • Apply after your graduation / conferment date: membership is valid for 12 months after your graduation / conferment date.
  2. You may join at any time during the year, but membership will expire at the above date
    3.  
  3. I agree to abide by the Library code of practice
    4.  
  4. I have read the list of services available to UQ Alumni, including databases, and I am aware of my entitlements
A library card will be mailed to you when the application is processed.