Borrower Registration Form for High School Students

Year 11 and 12 students enrolled at high schools in the Townsville and Cairns region are eligible to apply for borrowing privileges at JCU Library.

• To register as a borrower please complete the following form and submit. For more detailed information on borrowing see the Library's Guide to Lending Services.
• If you are under 18, you will need to have a parent/guardian sign this web form. Please print the form and bring it with you to collect your card.
• Your JCU library card will be processed when you visit Lending Services in the Library. Please note that a current student ID card must be presented at time of collection.
• A registraion charge of $27.50 (incl. GST) per individual will apply. Membership is for 12 months.

Title:	Mr    Miss   Ms
Surname: Other Names:

Address: Postcode: Telephone:
Email Address:

Name of High School : Year 11 Student Year 12 Student

Campus: Townsville Cairns

I hereby undertake to abide by all Library conditions of use and policies, and will pay any charges connected with overdue, lost or damaged material. For more informatioin see the Guide to Lending Services. Signed: ..............................................................................................Date:.................................... NB: The application form must be co-signed by a parent or guardian for students under the age of 18. Before signing you are encouraged to read Conditions of use of University Library Facilities. I hereby undertake to pay for any charges connected with overdue, lost or damaged material borrowed by the above named applicant. Parent/ Guardian Permission: Name of Parent/Guardian (please print) .............................................................................................   Address: .........................................................................................................................................   Signature:.........................................................................................Date:.......................................

                 (Clear data and start over.)

Information Privacy Notice
James Cook University is collecting the information on this form to carry out its functions under the James Cook University Act 1997 . The University may disclose some, or all of this information, to appropriate agencies if required including to the Commonwealth Department of Education, Science and Training, the Australian Taxation Office, etc.  For more information, the University's Privacy Plan is available at http://www.jcu.edu.au/staff/legal/privacyplan.rtf

OFFICE USE ONLY		Date:
Btype/Bstat:	Fee:	R/N	Barcode No:

 

 

If this information is inadequate, incorrect, or can be improved in any way, please let us know