2013 Membership Application Form -

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2013 Membership Application Form Box 51 Union House, University of Melbourne 3010 www.mucs.org.au Contact Details Surname: First Name:

Date of Birth:

Primary Email: Secondary Email: Address: City/Suburb:

Post Code:

Phone:

Mobile:

Undergrad

UniMelb Student

Student No.:

Postgrad

Course:

Local International

Home Country/State: UniMelb

Exchange

Department/Role:

UniMelb Alumni

Year of Graduation:

Other Institution

Name of Institution:

Course: Student:

Alumni:

Music Details Voice Type: Have you ever studied voice or an instrument? If so, to what level?

Do you or have you studied piano? Would you be willing to play at a rehearsal in the event of the accompanist being indisposed?

Have you previously been or are you currently in any other choirs? If so please specify

Please turn over

Personal Details MUCS Member Since:

Continuous Member? If not how many years altogether

How did you hear about MUCS?

Languages spoken (Basic / Conversational / Fluent)?

Cultural Background (Optional) Age Group

U18

18-21

Occupation: 22-25

26-30

31-40

41-55

56-65

66-75

First Aid

85+

al management, corporate

sponsorship, fundraising, committee experience, etc)

RSA

76-85

Food Handling

Other:

Please Sign Below

It is a condition of joining MUCS as a non-student member that membership may be subject to an audition at the discretion of the Musical Director and the committee, and that failure to pass an audition will result in the termination of membership. Should membership be revoked or refused the membership fee will be refunded. Student members are exempt from audition. I understand that my details will be kept confidential in MUCS records, and will only be used for the purpose of allowing the MUCS committee or Clubs and Societies to contact me and for fulfilling UMSU requirements. I give my permission for my name and/or image to be used in any MUCS program and for publicity purposes. Signature: Date:

New Student Joining Membership

$2 Payment Amount & Date

Re-joining Student Membership

$35

Non-student Membership

$110