Application Form

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SDTAV Membership Application Form 2021/2022

Even if you are a renewing member, we ask you to complete all the questions to ensure we have up-to-date information for all our members.

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 in 2021/2022? *

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; BSB: 063113, Account Number: 1045 4575

or send us a cheque to “The SDTAV” PO Box 510, Camberwell, 3124, Victoria

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

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