APPLICATION FOR NEW MEMBERSHIP
SeniorNet Association Inc.
PO Box 559 Booval Qld 4304
ABN 95 360 623 241
Membership Officer: Phil Buchanan
Phone: 0431 527 266
Email: [email protected]
www.seniornet.com.au
PLEASE PRINT
Last Name: ............................................................. First Name(s): .......................................................... Mr/Mrs/Ms
Street:
.......................................................................................................................................
Suburb:
............................................................................................ Postcode: ......................
Phone:
..................................................
Date of birth: ..................................................
Email: ..................................................................
(required by University of Southern Queensland to create a training account)
If you own a computer, does it use Microsoft Windows?
Yes
No
Version: .....................................
(eg. Windows 7; Windows 8, Windows 10)
If ‘No’, what operating system do you use? ..........................
If you own a tablet, what brand is it?
............................................................. (eg Apple, Samsung, Microsoft)
Any programs or apps you commonly use? ...........................................................................................................
...........................................................................................................
...........................................................................................................
Please enclose your $
...... subscription for Ordinary or Family membership with your application or make a bank
transfer to SeniorNet Association Inc. BSB: 633 000 Account: 129070264 with your name as reference and return the
Application Form to SeniorNet.
Annual subscriptions are:
Ordinary Membership:
$30.00 (one person aged 50+)
Family Membership
$45.00 (member plus one adult over 50 years)
By signing this form, you acknowledge that you are over the age of 50 and agree to the personal details above being
entered into the SeniorNet membership database. The database is confidential and exists for the sole purpose of
ensuring SeniorNet Association Inc. can provide benefits to members. Information will not be provided to any third
party other than in the provision of these benefits. SeniorNet can only offer membership to seniors who own or have
regular access to a desktop, laptop or tablet computer.
Signed:
.................................................................................................
Date:
.....................................
Office Use Only
Subscription Paid:
.........................
Receipt No:
.........................
Date: ...................................
Membership No: ………………………….
Proposed:
.....................................................................
Seconded: ...............................................................
Signature:
...............................................................
Signature:
...............................................................
SeniorNet Association Inc: Seniors helping seniors use computers and the Internet
Sponsored by The University of Southern Queensland
Completing this form is optional but may assist the Training Coordinator to recommend a
course or workshop for you.
Name:
Email:
..................................................................... Phone Number: ..........................................
..................................................................................................................
If you own a computer:
Please tick the appropriate box for each question (tick No if you are not sure)
Yes No
Can you turn the computer and monitor on and off?
Can you shut down the computer properly?
Are you familiar with the terms for parts of the Windows environment, such as Desktop,
Taskbar, Start?
Can you resize a window by using the Maximise, Minimise and Restore icons or by dragging
the edge of the window manually?
Can you move a window from one location to another on the screen?
Can you start an application or program such as Microsoft Word, Solitaire or Internet
Explorer?
Can you use basic keyboard functions: enter text; delete text; use shift, space bar, arrows and
enter keys?
Can you point, click, double-click and select text with a mouse?
Can you insert and eject removeable media such as USB sticks, CD discs or DVD discs?
Can you save a file to the hard drive and locate it later?
Can you copy or backup an existing file to another location (eg from the computer to a USB
stick or external hard drive)?
If you own a tablet
Please tick the appropriate box for each question (tick No if you are not sure)
Can you turn the device on and off?
Do you know what all the buttons do (eg volume controls, Home button)?
Do you know what the terms tapping, swiping, zooming and touch-hold mean?
Can you drag items across the screen?
Do you know how to enlarge or decrease the size of objects by using gestures such as
pinching and dragging?
Can you open an app?
Do you know how to find and download new apps?
Do you know how to navigate between screens and apps?
Can you take a photo with your device?
SeniorNet Association Inc: Seniors helping seniors use computers and the Internet
Sponsored by The University of Southern Queensland
Yes No