Application Form

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SDTAV Membership Application Form

If you are a new member or a renewing member, we ask you to complete all the questions to ensure we have up-to-date information for all our members. Please note memberships are based on the financial year July 1^st to June 30^th, member information is updated accordingly one a year upon payment of membership fees.

Emaila valid email

Nameyour full name

If other selectedplease specify

Postal Address

Residential Address(if different from above)

Phone number

Business Number(if different from above)

Qualifications

0 /

Teaching Focus Areas

0 /

WWC reference number or VIT number

Current Work

0 /

Do you wish to be referred for Eisteddfod Adjudication? *

YesNo

If yes, please list adjudication experience here:

0 /

Membership Fees are $65

Are you happy to have your details advertised on our new website?

We can list you on our Locate a Teacher page with as much as your location, name, telephone number, email and certifications. Please specify what information you would like advertised.

If other selectedplease specify

To Become A Member Of The SDTAV:

You can either make a direct debit payment to us; SDTAV BSB: 063113, Account Number: 1045 4575

Or you can send a cheque to The SDTAV PO Box 2007, Box Hill North 3129

A copy of your responses will be emailed by our SDTAV treasurer to the email address you have provided.

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