Associate member program for new members

Associate Member Program

Application for new members

I would like to apply for:

2021 Full year - $ 2,0002021 Semester 1 - $ 1,1002021 Semester 2 - $ 1,100Orientation Week (beginning of semester 1 only) - $ 600UQ Sport Lifestyle Package - $240

Applicant's Details:

First name (required)

Last name (required)

Date of birth (required)

Gender (required)

Town and country of birth (required)

Nationality (required)

Present residential address (required)

State (required)

Postcode (required)

Mobile number (required)

Email address (required)

Parent/Guardian details:

First name (required)

Last name (required)

Telephone

Mobile number (required)

Present residential address (required)

State (required)

Postcode (required)

Email address (required)

Accounts email (if different to personal)

Emergency contact:

First name (required)

Last name (required)

Telephone

Mobile number (required)

Relationship to applicant (required)

Present residential address (required)

State (required)

Postcode (required)

Email address (required)

Applicant’s intended program of study:

Degree (e.g. B Arts) (required)

Course code (required)

Secondary education:

School (required)

Years attended (e.g. 2014-2017) (required)

Community/school roles, interests and sports (indicate level of interest and participation) (required)

OP/ATAR (if known)

UQ student number (required)

Photograph:

Please upload a portrait style image of yourself. This will remain on your records whilst you are an associate member.

Proof of age:

Please upload a copy of your proof of age (birth certificate, drivers licence or passport).