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Join the USQ Alumni Network

Please complete the following registration form to keep connected with USQ through the Alumni Network.

You can sign up with the Alumni Network as a graduate, a current or former staff member, and a ‘friend’ of the University or any of its antecedent institutions (UCSQ, DDIAE, or QITDD)

The information you are asked to provide on this form represents a brief summary for USQ to provide you with a more personalised service.

Every new member of the Alumni Network is entitled to a range of benefits.

My Details \| My Studies \| My Communication
My Details
* First Name:
* Last Name:
Maiden Name:
* Primary Email:
Postal address:
City/Town:
* Country:
State/Province:
Postal Code:
Home phone:
Mobile phone:

For Staff and Friends of USQ
* I am a current/former staff member of USQ (or UCSQ, DDIAE, or QITDD)	YesNo
* I am/was associated with USQ and wish to register as a 'friend' of USQ	YesNo
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My Studies
* I am a graduate of USQ (or UCSQ, DDIAE, or QITDD)	YesNo
Year of graduation from USQ (please use the most recent year you graduated)
Student Number (if known)
Highest level of study completed
Main field of study
Highest level of study completed after graduating from USQ
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My Communication
* I am happy to receive email contact from USQ about items of interest to alumni	YesNo
* I would like to receive the USQ Alumni Network e-newsletter	YesNo
* I am happy for my details to be shared with other alumni	YesNo
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