Library membership form To request a membership to La Trobe University (LTU) Library, complete this registration form. You will receive a confirmation email within five business days with information on how to get started with your Library membership. Required fields are marked with an asterisk (*). Membership type * -- Please select --LTU AlumniLTU short course studentCAVALULANZCommunity (general public) If you are a student or staff member at Wodonga TAFE, please submit the online membership form for the David Mann Library instead of this form. Your details Name * (Please provide your full name) Preferred name (If different from your actual name) Date of birth * Email address * Contact number * Street address * City/Suburb/Town * State/Territory -- Please select --VICACTNSWNTQLDSATASWA State/Territory -- Please select --VICACTNSWNTQLDSATASWAOther (outside Australia) Please specify your state/territory * Postcode * Country * Institution details Institution * (e.g. the name of your university) Your role at the institution -- Please select --Undergraduate (e.g. Bachelor's degree)Postgraduate (e.g. Masters, PhD)Staff member Student ID number (Please provide your ID number, if known) Staff ID number (Please provide your ID number, if known) Your role at La Trobe University -- Please select --StudentStaff member Student ID number (Please provide your ID number, if known) Were you enrolled under a different name? -- Please select --YesNo Name you were enrolled under * Staff ID number (Please provide your ID number, if known) Were you employed under a different name? -- Please select --YesNo Name you were employed under * Short course details User ID * (Enter the ID you use to log into the Learning Management System) Name of short course * Short course URL (Enter the URL to your course in the Learning Management System) Other details Which LTU campus would you like to collect your card from? * (Note that Melbourne (City) and Sydney campus libraries are unable to provide Library cards) -- Please select --Albury-WodongaBendigoMelbourne (Bundoora)MilduraSheppartonNone (no card required) Confidentiality The La Trobe University Library is committed to protecting your privacy. The CAVAL Reciprocal Borrowing Program and the ULANZ Reciprocal Borrowing Program are subject to the Information Act 2000 (Vic). The personal information you agree to provide via this form will be shared between the libraries in relation to the provision of lending services including mechanisms for the recording and payment of any outstanding debts in relation to lost or damaged items. You may have the right to access the personal information we hold about you, subject to any exemptions in relevant laws, by contacting us. 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. Terms of use * I agree to abide by the La Trobe University Library Regulations in relation to borrowing from available collections at participating libraries of La Trobe University including payment for lost or damaged items.