Contact Form - College House

College House Association

If you were a student or staff member at College House and would like to be kept informed of College House news and alumni activities please fill out our contact details form.

* indicates required information

Title *

Other title

Given name/s *

Surname name *

Previous name /maiden name

Preferred name

Date of birth

Have any other members of your family been at College House (e.g. father, brother, sister, spouse)

Secondary school/s

Contact details

Postal address

Suburb

Town /city

State/province

Post code

Country *

Phone number *

Mobile phone number

Fax number

Preferred email address

Personal website (if applicable)

Student details

College House student number (if known)

House/s


Main Block	Stanford	Carrington
Wilford	Parr	Warren
Watts Russell	Chichele	Rymer
Hardie	Beadel	Townsite

CH Position held (if applicable eg. Student President)

First year at College House

Last year at College House

Degree/s

Subject major/s

Year graduated

Staff details (including tutors)

Staff position/s held

House/s


Main Block	Stanford	Carrington
Wilford	Parr	Warren
Watts Russell	Chichele	Rymer
Hardie	Beadel	Townsite

First year at College House

Last year at College House

Tell us about yourself

Retired? Working? Who is/was your employer/company?

Position

Comment

Work phone

Work email address

Work web address

How did you hear about College House Alumni?

If advertising, what publication?

Yes, I am happy for my contact details to be shared with the University of Canterbury Alumni Office

Do you have any other College House news /stories /comments?

Cancel Send