Jesuit Social Services Intranet Registration Form

Please complete the following form to register and interact with the Jesuit Social Services network. By completing the registration form your email address will be added to the Jesuit Social Services mailing list. Mandatory information is hi-lighted in red. Important Information: If you are already a member of another Infoxchange Intranet do not re-register but go to the member's page and update your details in order to add yourself to this intranet. If you have disabled cookies, you will need to reenable them. This form will only accept one email address and will not accept the following characters (; * ! 0 ^ #). Please submit your details

Name: Program/Centre: Central Office Learning and Practice Development Unit Brosnan Youth Justice Community Connexions Community Programs African Program Vietnamese Welfare and Resource Centre Jesuit Social Services Collingwood Holy Family Community Social Enterprise Programs Support After Suicide Position: Telephone: Mobile Phone: E-mail Address: Address Book: Add me to the JSS Staff Directory Allow your contact details to be viewed by other Jesuit Social Services Staff Members. Note: Usernames and passwords are case sensitive Username: (6 to 12 characters) Where possible, use the Jesuit Social Services Intranet Username standard: first initial + family name.      ie. John Smith = jsmith Password: (6 to 12 characters) Confirm Password: