Join/Renew Membership

Membership - New or updating?

Is this a new membership or an update / renewal?(*)

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Membership number(*)

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Personal Details

First Name(*)

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Family Name(*)

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Preferred email address(*)

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Preferred contact number(*)

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Employment Details

Do you work in Mental Health?(*)

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Mental health library membership is only available to mental health staff currently employed in agencies funded by The Victorian Department of Health - Mental Health and Wellbeing Division.

Position(*)

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Department / Team / Ward(*)

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Which campus are you based at?(*)

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Name of Mental health Parent Organisation / Service(*)

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Name of the clinic / building / hospital you work in?(*)

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Work street address(*)

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Suburb(*)

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Postcode(*)

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Library Card & Membership Conditions

PLEASE NOTE: All personal informaiton provided to the Library is kept confidential.

I agree to the following membership conditions:
- To respect the Library's rules of use, including the prompt return of items and proper care of Library resources, and to report lost/stolen cards or items to Health Sciences Library immediately.
- This membership is for personal use and not to be shared or otherwise distributed to others (even other registered Library Members), as this is a violation of the contract agreement between the library and its supplying vendors.
- To pay replacement costs plus processing charges for any items lost, stolen or damaged.
- To abide by the Australian copyright regulation and relevant licensing agreements.

Do you agree to the membership conditions?(*)

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