User account

Fill out this form to begin your application process for membership in the club. Once you complete it, further instructions will be sent to your email.

Existing and past members should not use this form, and should instead contact the Secretary.

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

General Announcements List

This list is where general club announcements are sent. All active members should be subscribed to this list. (1-2 emails per week)

Personal Details

Title *

First Name *

Last Name *

Suffix

Street Address *

Street Address 2

Your address is used for official Club mail only, and is kept confidential.

City *

Postal Code *

Country *

State *

Birth Date *

(clear)

Members under 18 years of age will require parent or guardian consent and supervision.

Primary Phone *

Mobile (preferred) or landline.

Alternate Phone

Some of your information is used by Melbourne University Sport. MUS is committed to observing the requirements of the Information Privacy Act. We collect your information for the purpose of providing your access to our sporting facilities and services, and it is also retained for the development of sports alumni at the University of Melbourne. By completing this form you consent to MUS using your information for these purposes. If, in the future you decline to be involved in the MUS sports alumni, you can so advise MUS. You can also contact MUS for a copy of the MUS Privacy Policy, or obtain a copy from www.sports.unimelb.edu.au.

Emergency Contact Details

This person will be contacted in case of an emergency involving yourself. This person must be in Australia, and preferrably in Victoria.

Emergency Contact Name *

First and last name of your emergency contact person.

Relationship *

How is your emergency contact related to you? (e.g. parent, sibling, flatmate, etc.)

Primary Phone *

Mobile, etc.

After Hours Phone

Business Hours Phone

Member Eligibility

This information is necessary to determine your eligibility for membership in the club. In general, membership is open to all, but look at Membership Eligibility for full information on our eligibility critera. You only need to fill in enough information to qualify for membership under our our critera. If in doubt ask a committee member when you present your application.

Melbourne Uni Student Number

University Graduate

Yes No

If you qualify as a university graduate, you will need to enter the name of the university, your degree and graduation year below.

Tertiary Institution

If you are applying as a student of another institution or a university graduate, you must enter the name of your instution.

Degree

If you are a university graduate, enter your degree.

Final Year

If you are a university graduate, enter the year you graduated.

Department

If you qualify as an emploee of the University, enter your department here.

External Employer

If you are staff not on the University payroll, but employed on site by an organisation which has a permanent office on University grounds, enter the name of your employer here.

College Affilliation

If you are a resident, member or staff of the University's affiliated colleges or halls of residence, enter it here.

Immediate Family

If an immediate member of your family is already a member of the MUMC, enter their name here.

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