Associate member program for returning members

Associate Member Program

Application for returning 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 Details:

First name (required)

Last name (required)

Present residential address: (required)

State (required)

Postcode (required)

Mobile number (required)

Email address (required)

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 program of study:

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

Course code (required)