REMEDIAL AND SUPPORT TEACHERS' ASSOCIATION OF QUEENSLAND
APPLICATION FOR MEMBERSHIP

Last name:
First name:
Title:
Address:
 
Area code:
Telephone:
E-mail:
Fax:
Work sector:
Secondary Primary Private provider
Teaching experience::
Up to 5 years 5-10 years 10 years or more
Briefly state when and in which area:

Highest Qualifications:

Signature:

 

  
Date:  

PRINT OUT THIS FORM, SIGN IT AND MAIL TO:
Remedial and Support Teachers' Association of Queensland
P.O. Box 62, Grange Q 4051

PLEASE ATTACH:

  1. Payment of $62.00 ($50.00 annual subscription plus $12 for processing of application).
  2. Photocopy of Board of Teacher Registration receipt, or photocopies as evidence of qualification and contact details for 2 referees, e.g. current members of the Association, contact at the tertiary institution where qualifications were obtained, or a current Education Queensland employee.