application form for an alumni association

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Havering College of Further &
Higher Education
APPLICATION FORM FOR AN ALUMNI ASSOCIATION MEMBERSHIP
To apply for an Alumni Association Membership, please complete this form and return to:
Threshold Services, Ardleigh Green Campus, Ardleigh Green Road, Hornchurch, RM11 2LL.
PERSONAL DETAILS
Title
Date of Birth
Forename
Surname
Surname whilst at Havering College (if different from above)
Address
Post Code
Telephone Number
Mobile Number
E-Mail Address
Occupation
Job Title
COURSE DETAILS
Course Completed
Campus studied at
Which year did you graduate?
MEMBERSHIP REQUIREMENTS
For office use only
(Please enter code year, eg /08)
Which Membership Level do you require?
Membership Level 1 – Free
Information and networking only
Membership Level 2 - £10 (15 years)
includes access to campus/sites and ID card.
Where did you hear about the Alumni Association?
I have read and understood the terms and conditions of
using my card (Level 2) and I agree to abide by these. If I
breach any of the terms and conditions of membership I
understand that I may have my card cancelled and my
membership terminated.
Signature
Date
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Course Code:
(Level 1)
ALUMNI1/
Course Code:
(Level 2)
ALUMNI2/
Valid from:
(Start of the month, eg 1 April 2009)
Valid to:
(15 Years, e.g 31 March 2024)
Enrollers signature:
Date:
Havering College of Further &
Higher Education
TERMS AND CONDITIONS OF USE
Members of Level 2 Alumni are expected to abide by the rules within the college
Code of Conduct, copies of which you are required to sign on enrolment.
Please retain this page for your records
GENERAL
1.
Only ex-Higher Education Students who are on the Alumni database can apply for an Alumni Card.
2.
Only one card is allowed per person.
3.
Graduates cannot apply for cards on behalf of other graduates.
4.
An Alumni Card will only be issued when the Alumni Office has approved the application and the £10 fee
has been paid.
5.
Benefits and services such as the Careers Service are subject to availability and access may be limited
during peak periods.
6.
An Alumni Card remains the property of Havering College of Further & Higher Education and can be
withdrawn at any time.
7.
A replacement fee of £12.00 will be charged in the event of a lost or stolen card.
8.
If an Alumni Card is lost or stolen the Alumni Officer at the College must be notified immediately.
9.
Making copies of the card is strictly forbidden.
10. Lending your card to another person in order for them to gain benefits and services on offer or to gain
access to the College will result in the card being cancelled and the card holder’s membership
terminated.
SPECIAL OFFERS AND DISCOUNTS
11. Any special discounts listed offered by external companies are subject to availability and their own terms
and conditions of use.
12. Information on benefits and services is correct at the time of going to print and the College cannot be
held liable for any change or withdrawal of the benefit and services provided by external companies.
13. The benefits and services available with an Alumni Card will change from time to time, please check the
website for details on up to date offers.
ACCESS TO THE COLLEGE’S CAREERS SERVICE
14. Appointments with the Careers Advisor must be made in advance.
15. Card holders will not be given priority over current students with career appointments.
ALUMNI LIBRARY USE
16. The Alumni Card gives access to the Level 2 members College’s Library for reference use only.
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