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Durham University

University College

University College Postgraduate Membership Form

Personal Details

Mx/Miss/Ms/Mrs/Mr

If you do have a preferred name, please tell us 

Please tell us your Gender Identity or your preferred pronouns

Please give us a contact number where we can reaching you while you are at Durham. If you do not have one now, please email it to univcoll.studentsupport@durham.ac.uk when you get one.

This nine digit number begins 000 and can be located on any Admissions correspondence confirming your offer

Undergraduates are students entering university for the first degree.  Postgraduates already have a degree and are returning to study at University.

Undergraduates should use the appropriate UG College Membership form

If you are a taught postgraduate, let us know your degree subject

If you are a research student (eg PhD student) let us know your Department

Please attach a photograph of yourself. This should be a single headshot of yourself and will be used for identification purposes only (such as on your mealcard). The image will not be published on the website.

Term Time Address
Where are you intending to live during 2020-21?



If you are living privately in Durham or living at home with family please let us know your term-time address below.

Emergency Contact Details
Please provide details of your next of kin whom the College can contact in an emergency.


I give my permission for a representative of University College or Durham University to make contact with my nominated person in an emergency.

Support
Provide us with a brief description of any support, health or wellbeing issues which you think we should be aware of. We appreciate that you may have already submitted this information to Disability Support. If you prefer not to send us information separately, please contact Disability Support on disability.support@durham.ac.uk and give your permission for them to share the information with College.


College Mentors are senior figures within the University and local community who provide pastoral support and advice to students, as well as helping support the Durham Inspried Award.  If you would like to be enrolled on the scheme, please indicate below and by agreeing here, you are allowing University College to share your details with your allocated mentor.

Confirmation
Before you submit this form, you must confirm that you have read all of the College Handbook and agree to abide by the rules and regulations of University College including that covered in the Misconduct and Student Behaviour section.

Please ensure that in addition to reading the Handbook, you also check these webpages regularly before you arrive as we will continue to add important information over the coming weeks.