Last Name

        Student Number

        Address:

        Home Telephone Number

        Mobile Phone Number

        Email Address

        Degree/Course e.g. Commerce etc.

        Course Start Year e.g.2008

        Course Duration e.g. 3 years

        Are you an International Student?

        Yes No    

        I wish to be a

        Volunteer General Member

          BSA Privacy Policy

        This information is collected for the sole purpose of administration of the club or

        society mentioned above regarding activities and functions of this club or society. Your

        Student Number will be used only for verification that you are a student of La Trobe

        University. You have the right to review and modify any information that La Trobe BSA  

        holds regarding your membership of the club mentioned on this form, as specified in  

        the BSA privacy policy. We do not disclose any of your personal information to any

        party outside BSA, including the University body. Your personal information will only be

        handled once by the club for data entry, then can only be retrieved by the Business

        Student’s Association.