University of Ballarat - Alumni Community

Title:
Family Name: *
Given Names: *
Email:
Phone:
Street Address:^*


Town / Suburb:^*
State:^*
Post Code:^*
Country: ^*
Are you a University of Ballarat Graduate? *	Yes No
Omit the following section if not a graduate
Course/s Studied: *

Student Number (if known):
Institution: (eg. UB, BTC, Wimmera Institute of TAFE)
Campus: * (eg. Mt Helen, SMB, Ararat)
OR
Provider: * (eg. MIT, IIBIT, Sino, Unity)
and
Location: * (eg. Melb, HK, Malaysia)
Year of Graduation:
Your Friends Details
Title:
Family Name: *
Given Name : *
Course/s Studied: *

Institution: (eg. UB, BTC, Wimmera Institute of TAFE)
Campus: * (eg. Mt Helen, SMB, Ararat)
OR
Provider: * (eg. MIT, IIBIT, Sino, Unity)
and
Location: * (eg. Melb, HK, Malaysia)
Year of Graduation (if known):
Any additional information which may help us to contact your friend:
How would you prefer your friend contacts you: (please ensure your email / phone number is recorded in section one above)
Email
Telephone
What message would you like us to forward onto your friend?
Message:
Remember, some of your old University Friends may be wanting to reunite with you! Make sure you keep your details up to date. You can join or update your profile in one easy step here.

Find a friend