Farewell Residents | Graduate House

Do your contact details differ from those on your Graduate House application form ?
for example, you will no longer be using your university enrolment email address
- Yes, I want to update my details
- No, my details are the same as those in my application form
Name
Prefix First Last
Email*
Please provide an email address that you will continue to use over the foreseeable future.
Enter Email Confirm Email
Mobile
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please provide a response for each row

	Strongly disagree	Disagree	Neutral	Agree	Strongly agree	Prefer not to give a rating	not applicable
The quality of the accommodation and other residential facilities was high
I was made to feel welcome and at home during my stay at Graduate House
Graduate House accommodation provided value for money
College staff members were always available and willing to help
The breakfast and dinners were nutritious and of high quality
Repairs and maintenance were undertaken in a timely and comprehensive manner
The rooms and shared facilities were clean and hygienic

I will continue as a Member of The Graduate Union after having been a resident
- Yes
- No
- Not sure
How likely are you to recommend Graduate House to a friend or colleague?*
Not at all likely 2 3 4 5 6 7 8 9 Extremely likely

Bond Refund Preference
- Refund to an Australian Bank Account
- Refund to Credit/Debit Card
- Donate it to The Graduate Union
The Life Span of Membership
Continuing your membership with The Graduate Union is not just about being a Member, it's so much more.
- Reciprocal associations around the world.
- World networking for career development.
- A like-minded social group for life.
- An international collegium for good.
View the types of membership available and apply to join.
Phone
This field is for validation purposes and should be left unchanged.

Your Details
Name*
Prefix First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Number / Telephone Number*
Email
I wish to be named as a donor*
- Yes
- No
^ Yes' indicates that you are happy to be acknowledged (first name and surname) for your donation in our publications. 'No' indicates that you wish to remain anonymous. If neither 'Yes' nor 'No' is selected a 'Yes' response is assumed.

Payment
Total
$ 0.00
Method of Payment*
- Debit/Credit Card
- Cheque
- Bank Transfer
- Direct Debit
Bank Transfer Details
Account Name: Diamond Jubilee Campaign
Bank: ING Bank (Australia) Limited
BSB: 923 100
Account Number: 6079 1331
Swift Code: INGBAU2S
Description: Surname_Firstname_2018
- Directed to The Graduate Union of The University of Melbourne Inc.
Credit Card*
Card Details
Cardholder Name
Financial Institution*
BSB*
Account Number*
Frequency**
- Weekly
- Fortnightly
- Monthly
- Yearly
Commencing:*
Date Format: DD slash MM slash YYYY
I would like to give regularly through my selected payment option*
I agree to the Automatic Payment Service Agreement
Automatic Payment Service Agreement
Signature*
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.

Farewell