End of Student Membership Form 2015/16

GUIDANCE NOTES

What is this form for?

This is a College form for students who have recently finished or are about to finish their course/receive leave to supplicate. Completing this form signals the end of your student membership and the start of your alumni relationship with the College.

When does my student membership of the College end?

There are two options for ending your student membership.

Option one: Your student membership endsone month after your University card expires/date you receive leave to supplicate. However, you will not be able to access the following College facilities from the date that your card expires/date you receive leave to supplicate:

  • Old Main Building
  • College Library and Gulbenkian Room
  • Computer Room
  • Printing/photocopying facilities

You will be able to continue to eat in the Dining Hall using your University card until the end of your student membership. You may continue to use the Hall after this time and pay with a credit or debit card, but not at the discounted student rate.

Master’s students can receive mail/post into your named pigeonhole until mid-September (students whose courses finish at the end of September then use the A-Z pigeonholes).

Option two: Alternatively, you can request to end your student membership in full (including payment by University card in Hall) on a different date between now and one month after your card expires/you receive leave to supplicate. This date can be before your card expires if you are certain that you have completed the requirements of your course and no longer require access to any College facilities.

Make your choice on section 2 of the form.

If you will be continuing to another course at St Antony's College in 2015/16 (e.g. progressing from a Master’s degree to a DPhil), you shouldnot complete the form now but at the end of your final course here.

How long will it take for my deposit to be returned?

We will start to process this form from the date you specify in section 2.

We aim to return the deposit as soon as possible; however, during busy periods this may take up to six weeks. If you are planning to close your UK bank account, please note the approximate closure date in section 3 and ensure you allow sufficient time for the deposit to be processed and returned.

Alternatively, you can choose to donate your deposit to the Antonian Fund, which supports a range of initiatives enhancing all aspects of academic and student life across the College. You will then become a Member of the St Antony’s College Leavers’ Society. More information about the Leavers’ Society will be sent to you by the College’s Alumni & Development Office.

See section 3 of the form.

How do I find out more about being an alumnus/alumna of the College?

Once you complete your course, you become an alumnus/alumna of the College and a member of our global Antonian community. See also the Antonian webpages.

We will keep in touch with you by email and encourage you to send us your updates at .

Whatshould I do now?

  1. Use the Checklist below to avoid delays in the processing of this form
  2. Complete all four sections of the form in full
  3. Return pages 2-4 in Word or pdf format to

CHECKLIST FOR ENDING YOUR STUDENT MEMBERSHIP

Check the boxes when you have completed these steps. Note that we can only process this form in full if you have NO unreturned College library books and the refund of your deposit will leave you with NO debt to the College.
☐Cancelled auto top-up of Upay for eating in Hall, if you set this up. You MUST do this before ending your student membership otherwise payments will continue to be taken from your debit or credit card. / ☐Set up a forwarding email address. You will have access to your Oxford email account for one month after your card expires and email forwarding for an additional two months.
☐Settled any outstanding payments on your battels account (unless covered by your deposit). / ☐Provided a forwarding address for mail – ask for a mail forwarding form at the Lodge if required. Mail will be forwarded for up to three months.
☐Returned all library books to College and University libraries.

END OF STUDENT MEMBERSHIP FORM

SECTION 1. YOUR DETAILS
First (given) name: / Last (family) name:
Personal email address (not @ox.ac.uk):
Mobile phone number (include country code):
Permanent mailing address:
Post/zip code:
Country:
SECTION 2. DATE THAT YOUR STUDENT MEMBERSHIP WILL END
Your student membership will end EITHER one month after your card expiry date/date you receive leave to supplicate (although access to the facilities listed on page 1 will end on the card expiry date/date you receive leave to supplicate) OR on a specific date from now until one month after your card expires. This form will notbe processed until after the relevant date. Specify your choice:
☐End my student membership one month after my card expiry date / date that I receive leave to supplicate / ☐End my student membership on:
Click here to enter a date.
SECTION 3. COLLEGE DEPOSIT
When you started your course you paid a deposit to the College.
Complete ONE of A or B or C below to indicate what you want to happen to the deposit.
A. Refund my deposit to my UK bank account
Account holder’s name as it appears on your bank statement: / If you are closing your UK bank account, give the approximate closure date:
Account number (8 digits): / Sort code (6 digits):
B. Refund my deposit to an international bank account
Payments made to non-UK bank accounts will incur charges. The amount you receive will be the amount of the deposit minus any costs incurred in making the transfer of funds.
Account holder’s name: / Name of bank:
Account holder’s postal address:
Address:
Post/zip code:
Country: / Bank’s postal address:
Address:
Post/zip code:
Country:
Bank identifier code (BIC or SWIFT): / International bank account number (IBAN):
If your payment will be routed via an intermediary bank, you must also complete these details:
Intermediary bank name: / Intermediary bank’s postal address:
Address:
Post/zip code:
Country:
Intermediary bank identifier code (BIC, SWIFT or Routing Number):
C. Donate my deposit to the College’s Antonian Fund
Please choose one option from the funding streams in the Antonian Fund:
☐Warden’s Scholarships
(191-AA3-R) / ☐Travel and Research
(191-AA5-R) / ☐Writing up Bursaries
(191-AA6-R) / ☐Life at St Antony’s
(191-AA4-R) / ☐Academic initiatives
(191-AA7-R) / ☐Greatest need
(191-AA2-R)
SECTION 4. DATA PROTECTION STATEMENT
Please indicate that you have read and understood the information provided in the data protection statement by entering your signature and date below.
St Antony’s College seeks to maintain a lifelong association with its Antonians. Information on the College’s Alumni database is held securely and confidentially by the Alumni & Development Office for the purpose of effective contact between the College and its alumni. It will be used by the Development Office for mailing of College publications, the organisation of events and informing you of fundraising initiatives. St Antony’s College does not sell or give out data to any third party. If another Antonian wants to contact you we require your consent to pass on your contact details (without consent we will, however, offer to forward single pieces of post or email to you). However, alumni email addresses may be given to recognised alumni societies (Liaison Officers) associated with St Antony's College, so that they can forward you event and reunion invitations. The provision of this data is subject to a confidentiality agreement, signed by St Antony’s Liaison Officers. If you would rather not have your email address shared with St Antony’s Liaison Officers, please write an email to .
Signature (type your name or insert signature):
Date: Click here to enter a date.
FOR OFFICE USE ONLY (initial on completion, enter £ if required, log on tracker spreadsheet)
ACTION / ENTER £ IF OUTSTANDING / INITIALS / ACCOUNTS OFFICE:
Registry: flagged if urgent / Hardship loan / £
Registry: contact details / Printing/photocopying / £
Registry: hardship loan / £ / Accounts: final battels / £
Library: books
(replacement charge if applicable) / £ / Accounts: total due to / from student / £
Library: door if applicable
IT: door if applicable / Signed:
IT: printing/photocopying / £
Accounts: non-battels debt transfer
Accounts: Uniware transfer
Accounts: deposit transfer / Date:

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