Register for remote delivery If you require physical items from the Library to be posted to you, you must first register for remote delivery using this form.Please ensure you satisfy the eligibility criteria for remote delivery prior to submitting a registration request. Required fields are marked with an asterisk (*). Your details Name * Email address * (Please ensure this is your La Trobe University email address) Student/Staff number * Reason for registration * (Select the most appropriate option) Reside (or on extended placement) more than 50km from home campus Have a disability or chronic illness (or care for someone who does) Registered with the Accessibility team Study/work at Sydney Campus, Bouverie Centre, Chisholm Institute or a clinical school Placement end date (If you are currently on a placement at this location, please indicate when it will finish) Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJuneJulyAugSeptOctNovDec Year 20262027202820292030 Delivery details This is the address where any requested items will be sent. Street address/PO Box * Suburb * State/Territory * -- Please Select --Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Postcode * Confidentiality La Trobe University respects the privacy of your personal information. We collect personal information about you to help us provide the most relevant learning support. We will only use the supplied information for this purpose. If your personal information is not provided to us, then we may not be able to contact you to set up an appointment, or may not assign your case to the most relevant expert advisor. You may have the right to access the personal information we hold about you, subject to any exemptions in relevant laws, by contacting us. Refer to the La Trobe University privacy policy for more details.