ACT Teacher June 2009

Page 30

AEU Membership Application ACT Branch PERSONAL DETAILS (Please complete all sections) Surname

Mr/Ms/Miss/Mrs

I hereby apply for membership of the ACT Branch of the Australian Education Union and if admitted agree to abide by the Rules of the Union. AEU Rules can be found at www.aeuact.asn.au

Given Names Home address Postcode

Home phone

CLASSIFICATION

O Teacher O Assistant O Youth Worker O Indigenous HSLO O Other (please specify)_____________

Work Email

O I wish to be identified as an Indigenous Member EMPLOYMENT DETAILS Workplace Current level and salary step [Go to www.aeuact.asn.au/join-us for the fee schedule]

I agree to pay to the AEU fees owing in accordance with the Union’s schedule of subscriptions. I understand that my fees will be adjusted automatically in line with salary movements. I recognise that I must inform the Union of any other salary or status adjustments otherwise I will not be a fully financial member and may not be eligible for the full range of services. I understand that the Union’s Rules require me to give written notice of resignation.

SECTOR

O TAFE O Preschool

Application for membership

O Secondary O Primary O Associate* (Retired/Student Teachers)

* Associate Members need only sign, date, attach payment or complete credit card details. Go straight to signature box.

STATUS

O FULL TIME O Permanent OR Contract O O PART TIME O Permanent OR Contract O Load % O CASUAL (Schools) – Average days per week [tick ONE] O 0-1 O 2-3 O 3+

Signature

Date of application

Post to PO Box 3042 Manuka ACT 2603 or fax 02 6273 1828.

PRIVACY STATEMENT: The AEU will not sell or provide any information regarding AEU – ACT Branch members to third parties. The AEU’s Privacy Policy may be viewed at www.aeuact.asn.au.

O CASUAL (TAFE) – Average hours per week [tick ONE] O 0-6 O 7-14 O 15-20

Public Education Works 30


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