Register

Welcome to the Alumni registration form. Please fill in the form as accurately as you can. Just follow the six steps on this page to register, and if you enter an e-mail address you'll get confirmation that we've received your details.

Step 1: Your details

Title
First name
Surname
Maiden name
Date of Birth:

House/flat name or number
Street
Line 2	(optional)
Town/City
County
Postcode
Country	(optional)
This is my	address

Step 2: Telephone & E-mail address

Home
Work	(optional)
Mobile	(optional)
E-mail	We will send you a confirmation e-mail to this address once you have submitted your details. If you do not have an e-mail address you may leave this field blank.

Step 3: Study at Huddersfield

Student Number	(optional)
Qualification
Course Title
Year graduated/awarded

Step 4: Career

Current Employment Status

Employed
Self-Employed
Retired
Volunteer
Unemployed
Other
I am currently studying full-time/part-time (tick if this applies to you)

Job Title
Industry
Name of Employer:
Employer's Address

Step 5: Your News

What have you been up to since graduating from the University?

	Can we include this information (and photo if received) on the website or future editions of Encore? See disclaimer for more information.
	Would you be willing to visit the University and speak to current students interested in your field of employment? (tick for approval)
	Would you or your employer be interested in providing placements to University of Huddersfield students? (tick for approval)

Step 6: Disclaimer & submit

We will make every effort to include this information but we cannot guarantee that all details submitted will be published.

Data Protection - All information the Alumni Office holds will be used in accordance with the University's Data Protection Policy and Handbook of Regulations. If you have any questions about the data we hold about you, please contact the Alumni Office on +44(0)1484 472241.

I have read and agree to the disclaimer