Flinders University Alumni Association
Update Form
All Information is Confidential |
Personal and Work Details |
Surname:
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Surname at graduation:(if different)
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Given Names:
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Title:
If other, please specify:
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Date of birth:
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Home address:
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Postal address: (if different to home address)
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Occupation:
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Employer's Name and Address:
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Membership of Professional Organisations/Societies etc (no abbreviations):
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University Details |
Student Id No (if known):
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Academic Qualification(s) and Institution(s) (where applicable):
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Year(s) Degrees Awarded:
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Majors/Main Academic Area:
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Sporting/Other Affiliations and involvement at Flinders (non academic):
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Did you reside in University Hall:
Yes
No
Dates of residence:
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Did you reside in University Townhouses:
Yes
No
Dates of residence:
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Did you reside in Deirdre Jordan Village:
Yes
No
Dates of residence:
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Are you Interested in:
Activities for Singles
Activities for Families
Alumni Overseas Tours
Academic Chapters Socials
General Alumni Functions
Networking with Alumni in your profession
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Are there particular activities in which you might be interested:
Are you interested in becoming an e-mail mentor (assisting a student in your field)?
Yes
No |
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THANK YOU |
