Nursing and Midwifery Alumni Staying Connected 2011

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*Title
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*First Name
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*Surname/Family name
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Name at graduation (if different)
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*Date of birth
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Your Alumni ID (See your Alumni Card for your ID or telephone us on +61 2 9036 9222)
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Degree title

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I am a graduate of:

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Graduation year

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Current place of work

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Specialty area (e.g. cancer care, midwifery etc)

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Current position held

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*Email address
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Contact phone number (please include country/area codes)
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*Street Address 1
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Street Address 2
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*Suburb
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*State
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Postcode/ZIP
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Country (*If outside Australia)
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*This address is my
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*In 30 words or less, tell us what it means to you to be an alumni member of Sydney Nursing School
The information you provide may be used to maintain contact and keep you up-to-date with information about the University, its services, events and achievements. It may be passed on to groups affiliated with the University, such as alumni organisations and foundations (local and overseas), SU Sport and residential colleges. Your name may be published in the annual honour roll. If you do not wish to receive this information, please contact Advancement Services (fax +61 2 8627 8819, or email alumni.updates@sydney.edu.au). The University of Sydney abides by the 'NSW Privacy and Personal Information Protection Act'.