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:

Direct debit payment:

SDTAV

Commonwealth Bank of Australia

BSB: 063 113 Account Number: 1045 4575

Please include your full name as the reference

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

Membership Fees are $65

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

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To Become A Member Of The SDTAV: