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1 St. Lucia, Brisbane, Queensland Australia College Road, St. Lucia, QLD,

2 Associate Membership Program About Duchesne Duchesne College was founded in 1937 to provide a safe and nurturing home for young, Catholic women from rural and regional Queensland, embarking on their university studies in Brisbane. The College began with only four students and has grown to 212 students, primarily undergraduates. It is a strong and vibrant community, providing many opportunities for young women to develop and flourish academically, socially and spiritually. About the Program Duchesne College Associate Members live outside the College but can call Duchesne home while at university and enjoy nearly all the benefits of College life. Associate Members begin their university experience like every other first year student or fresher. During Orientation Week or O Week Associates live in for the entire week, becoming fully immersed in the culture and life at Duchesne. The Program is also open to past residents of Duchesne who are still attending University as a full time student. Benefits to Members Social connections to other colleges on campus great for students, who are commuting, are new to Brisbane or living in accommodation where meeting likeminded people is difficult. During O Week Associates live in for the entire week (additional cost incurred), becoming fully immersed in the culture and life at Duchesne. They readily form an instant friendship group. Access to all Duchesne s facilities including the dining hall, common rooms and a fully-equipped gym. Peer support through an assigned Resident Assistant (a senior student familiar with life at Duchesne), as part of a wider pastoral care program. Access to the Duchesne College Learning Lounge and music practice rooms Wellness and Creative programs to support wellbeing. Formal dinners a highly valued Duchesne tradition and the ideal place to make lasting friendships and meet inspiring guest speakers, while enjoying a special meal. Academic support provided in weekly tutorials, facilitated access to University programs, including individual coaching on study and time management skills, and mentoring from fellow students. Associate Members are often the first to be offered places at Duchesne should they become available throughout the academic year. All weekday lunches during the academic year are included. Additional meal cards for breakfasts, dinners or weekend meals can be purchased from reception for $10 per meal. * Please note Associate Members cannot participate in the ICC Sporting and Cultural competitions, but they are able to support all sports and attend ICC social events and participate in social sporting activities. Associates are also welcome to involve themselves in the extensive range of community service activities e.g. St Vincent de Paul committee, Do it-in-a-dress campaign etc.

3 Value of offering Associate Members can partake in opportunities offered at the College including: 5 formal dinners per year; 1 or more tutorial/s per week for 30 academic weeks; 5 lunches/week over the academic calendar; academic support (proofreading, course selection etc); pastoral support; wellness program sessions (yoga, craft etc); counselling support; Becoming a Professional (Duchesne run student support sessions) and savings with the UQ Gym, to name a few. This Membership has been costed to be worth well over $4,500, making it an extremely worthwhile opportunity for a Duchesne Associate. Associate Membership Program APPLICATION FORM I wish to apply for the following type of membership: (Please tick all that apply) MEMBERSHIP TERM FEE Full Year $1,200 Semester 1 $600 Semester 2 $600 O-Week Residential Fee (not available for alumnae) $575 Contact Details Applicant s Personal Details: Please print clearly Surname Preferred Name Date of birth: (day/month/year) Town and Country of birth Nationality Postal Address Residential Address Home phone Guardian/parent mobile Preferred Student Mobile University

4 Medical / Food you are required to inform the College of any existing medical issues at this time Any known illnesses: Allergies: Dietary requirements: Applicant s Photo: Please forward a current photograph (clear headshot) with your application or as an attachment to duchesne.college@duchesne.uq.edu.au Mother s Details: Title Work Phone ( ) Surname Home Phone ( ) Mobile Occupation Current residential address Father s Details: Title Work Phone ( ) Surname Home Phone ( ) Mobile Occupation Current residential address Emergency Contact: Title Work Phone ( ) Surname Home Phone ( ) Mobile Occupation Current residential address

5 Applicant s intended program/course of study Preference University Degree program/course Secondary Education: Years 8-10 School Years 11 and 12 School Years attended Years attended OP/ATAR if known Applicant s ment Please write information about yourself in the space provided. Please include your study, sports and cultural interests, community/volunteer experience and your career aspirations. You should also include what you hope to contribute to the community of Duchesne College.

6 Payment Options Payment options are Visa, MasterCard, cheque or direct deposit MEMBERSHIP TERM FEE Full Year $1,200 Semester 1 $600 Semester 2 $600 O-Week Residential Fee (not available for alumnae) Credit Card Payment $575 Card type (please circle): VISA MASTERCARD Card Number: Expiry Date: Name on Card: / Amount: $ Signed: Cheque Cheque made payable to Duchesne Collage ( please tick) Please PRINT the name of the student on the back of the cheque Amount $ Direct Deposit Direct deposit to Commonwealth Bank. Please use student name as the reference and a copy of the Registrar to acknowledge the transfer of funds or bank deposit slip. Bank: Commonwealth BSB: Account Number: : Please forward your application with payment to: Post: Registrar, Duchesne College, College Road St Lucia QLD 4067 Or ed to: t.gooding@duchesne.uq.edu.au Disclaimer ment: The information you provide on this common application form will be used only for the purpose of the College s application process.