Membership Application Form

Membership Type*

Please indicate above which membership you are applying for:

New University Staff - one year Full Ordinary (no voting rights) with subscription fee waived.
PhD Candidates - Unrestricted Associate Membership with fee waived for the duration of their research (up to four years).
Full Ordinary Membership - Subscription $395.
Associate Membership - Subscription $395.
Associate Membership (Restricted)- $192.5 (no lunchtime access to the Professors' Walk or UH@W cafés).
Trial Membership - 28 days free subscription to enjoy Club's facilities and events.
Honorary Membership - Visitors/Honorary/Short term - maximum 28 days.

For any membership queries, please call (03) 8344 5254, email
membership@unihouse.org.au or come by Reception at University House, Professors’ Walk.

Your Name

Date of Birth

Please fill out this field so that we may issue you with a birthday reward.

Postal Address

Phone Number
Please Specify at least one

Office

Home

Mobile

Email Address *

Campus

student number

staff number

Date Commenced at University of Melbourne

Date Conclude Studies at University of Melbourne

Employed by

Name of Dept./Institution (within The University of Melbourne)

Position within Employer’s Institution

If Part Time, number of hours employed per week

Starting date of Membership

How did you hear about the Club ?

Have you visited University House before?

Yes

Membership Subscriptions can be paid via Salary Deduction or Monthly Direct Debit from your credit card. The 2018 Subscription deduction is $15.14 per pay fortnight. Click here for the Salary Deduction Form . The monthly Direct Debit is $32.92 for Full Ordinary and Associate Members and $16.46 for Associate (Restricted) Members. Click here for the Full Ordinary/Associate Monthly direct debit form. Click here for the Associate (restricted) Monthly direct debit form