Ustinov College

Your Contact Details

Sending us your most recent contact details means we can keep you informed about Ustinov College news and upcoming alumni events. Please fill out the form below for submission to the College Office. Thank you.

Personal Information

Title *
Surname/Family Name *
First/Given Name *

Current Address

Address Line 1 *
Address Line 2 *
Address Line 3
Postcode
Country *
email address *

Programme Information

Tell us about the course and subject you studied while you were a Ustinov/Graduate Society member, and when you were here.

Programme *
Programme Dates *
Programme Dates
Programme Dates

Living in College

Fill this section in if you lived in college when you were in Durham.

Where did you live?	Howlands Farm Keenan House Brackenbury Parsons Field Palatine House Old Elvet Kepier Flats Kepier House Shincliffe Hall	Tick all that apply.
When did you live there?

College Societies

Fill this part in if you were a member of any Ustinov/GradSoc clubs and societies, or a House Committee/GCR Committee member

Name of Club or Society
Position on House Committee/GCR Committee

Involvement in Ustinov Association

Let us know if you are willing to get more involved in the Ustinov Association, for example by volunteering some time to the Association Committee in Durham or where you live.

I'm intereted in helping to organise events in Durham.	Yes No
I'm interested in helping to organise events where I live.	Yes No