Please complete your personal details... I want to join NTEU
NATIONAL TERTIARY EDUCATION UNION – MEMBERSHIP FORM
I hereby apply for membership of NTEU, any Branch and any associated body‡ established at my workplace.
I am currently a member and wish to update my details The information on this form is needed for a number of areas of NTEU’s work and will be treated as confidential.
TiTle
Surname
male Female
given nameS
Home addreSS
PlEASE USE MY hOME ADDRESS FOR All MAIlING
poSTcode Home pHone INclUdE arEa codE
WorK pHone INclUdE arEa codE
mobile pHone
email addreSS
daTe oF birTH
yeS yeS: aT WHicH inSTiTuTion?
are you an auSTralian aboriginal or TorreS STraiT iSlander? Have you previouSly been an nTeu member? currenT inSTiTuTion/employer
campuS
FaculTy
depT/ScHool
mail/bldg code
poSiTion
claSSiFicaTion level STep/incremenT
annual Salary
nexT incremenT due
E.g. lEcTB, HEW4
If kNoWN
If kNoWN
MoNTH, If kNoWN
WHaT iS your employmenT group?
academic
general
oTHer:
WHaT iS your employmenT caTegory?
Full Time
parT Time
WHaT iS your employmenT Term?
conTinuing/permanenT Fixed Term conTracT DATE OF ExPIRY
hRS PER WK
general STaFF caSual
PlEASE NOTE OUR SPECIAl RATES FOR CASUAl/SESSIONAl STAFF.
➔ uSe paymenT opTion 1, 2 or 3 SignaTure
SeSSional academic
➔ uSe paymenT opTion 4 daTe
You may resign by written notice to the Division or Branch Secretary. Where you cease to be eligible to become a member, resignation shall take effect on the date the notice is received or on the day specified in your notice, whichever is later. In any other case, you must give at least two weeks notice. Members are required to pay dues and levies as set by the Union from time to time in accordance with NTEU rules. Further information on financial obligations, including a copy of the rules, is available from your Branch. Office use only: Membership no.
Please post or fax this form to NTEU National Office
‡associated bodies: NTEU (NSW); University of Queensland Academic Staff Association (Union of Employees) at University of Queensland; Union of Australian College Academics (WA Branch) Industrial Union of Workers at Edith Cowan University & Curtin University; Curtin University Staff Association (Inc.) at Curtin University; Staff Association of Edith Cowan University (Inc.) at Edith Cowan University.
NTEU National Office, Po Box 1323, South Melbourne VIc 3205 T (03) 9254 1910
F (03) 9254 1915
E national@nteu.org.au
E www.nteu.org.au
rEcrUITEd BY: