Havering College of Further &

Higher Education
APPLICATION FORM FOR AN ALUMNI AOCIATION MEM!ERHIP
To apply for an Alumni Association Membership, please complete this form and return to:
Threshold Services, Ardleigh Green Campus, Ardleigh Green Road, Hornchurch, RM !""#
PERONAL "ETAIL
Title $ate of %irth
&orename
Surname
Surname 'hilst at Havering College (if different from above)

Address

(ost Code
Telephone )umber
Mobile )umber
*+Mail Address
,ccupation
-ob Title
COURE "ETAIL
Course Completed
Campus studied at
.hich year did you graduate/
MEM!ERHIP RE#UIREMENT
.hich Membership "evel do you re0uire/
Membership "evel 1 &ree
2nformation and net'or3ing only
Membership "evel ! + 45 67 years8
includes access to campus9sites and 2$ card#
.here did you hear about the Alumni Association/

2 have read and understood the terms and conditions of
using my card 6"evel !8 and 2 agree to abide by these# 2f 2
breach any of the terms and conditions of membership 2
understand that 2 may have my card cancelled and my
membership terminated#
Signature
$ate
For office use only
(Please enter code year, eg /08)
Course Code: A":M)29
6"evel 8
Course Code: A":M)2!9
6"evel !8
;alid from:
6Start of the month, eg April !55<8
;alid to:
67 =ears, e#g > March !5!?8
*nrollers signature:
$ate:
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Havering College of Further &
Higher Education
TERM AN" CON"ITION OF UE
Members of "evel ! Alumni are eCpected to abide by the rules 'ithin the college
Code of Conduct, copies of 'hich you are re0uired to sign on enrolment#
Plea$e retain thi$ %age for &our record$
'ENERAL
# ,nly eC+Higher *ducation Students 'ho are on the Alumni database can apply for an Alumni Card#
!# ,nly one card is allo'ed per person#
># Graduates cannot apply for cards on behalf of other graduates#
?# An Alumni Card 'ill only be issued 'hen the Alumni ,ffice has approved the application and the 45 fee
has been paid#
7# %enefits and services such as the Careers Service are subDect to availability and access may be limited
during pea3 periods#
B# An Alumni Card remains the property of Havering College of &urther E Higher *ducation and can be
'ithdra'n at any time#
F# A replacement fee of 4!#55 'ill be charged in the event of a lost or stolen card#
A# 2f an Alumni Card is lost or stolen the Alumni ,fficer at the College must be notified immediately#
<# Ma3ing copies of the card is strictly forbidden#
5# "ending your card to another person in order for them to gain benefits and services on offer or to gain
access to the College 'ill result in the card being cancelled and the card holderGs membership
terminated#
PECIAL OFFER AN" "ICOUNT
# Any special discounts listed offered by eCternal companies are subDect to availability and their o'n terms
and conditions of use#
!# 2nformation on benefits and services is correct at the time of going to print and the College cannot be
held liable for any change or 'ithdra'al of the benefit and services provided by eCternal companies#
># The benefits and services available 'ith an Alumni Card 'ill change from time to time, please chec3 the
'ebsite for details on up to date offers#
ACCE TO THE COLLE'E( CAREER ER)ICE
?# Appointments 'ith the Careers Advisor must be made in advance#
7# Card holders 'ill not be given priority over current students 'ith career appointments#
ALUMNI LI!RAR* UE
B# The Alumni Card gives access to the "evel ! members CollegeGs "ibrary for reference use only#
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