Alumni Membership Application Form

Please complete this form fully to apply for Alumni membership of the Library. Successful applicants will receive confirmation by email.

Apply for Library Alumni membership:

Your Contact Details

Title

Forname *

Surname *

Previous Surname (if applicable)

Date of Birth *

Day Month Year

Address Line 1 *

Address Line 2

Town/City *

Postcode *

Home Telephone No.

Work Telephone No.

Email Address *

Course Details

Course Studied *

Campus

Year Qualification Awarded * [yyyy]

Further Information

Occupation

Employer

Additional Information Please enter any additional information relevant to your application

Terms and Conditions

Please accept the following terms and conditions * I confirm that I wish to apply for Alumni membership of the Library of the Ulster University. I agree to abide by the rules of the Library and will be responsible for any fines incurred or charges related to the replacement of items not returned.I am happy for my details to be checked and verified by the Development and Alumni Relations Office (DARO), Ulster University.

I ACCEPT THESE TERMS & CONDITIONS

How the Development and Alumni Relations Office Will Use Your Data

Your data is held securely by the Development and Alumni Relations Office of Ulster University on its database. For full details please consult the DARO Privacy Policy.