Change of Details Form - please click here
Application Form - please fill in online form below
Personal Details - note: (*) Indicates a required field
Work Details
Title:
*Given Names:
*Family Name:
Street:
Suburb:
State:
Postcode:
*Phone:
Mobile:
*Email:
Your ID Number:
Current School:
District:
Fax:
Position
Current position:
Tenure of this position:
(If acting) please state your longer term position:
Location:
Do you prefer your home address or work address to be listed as your contact address?
MEMBERSHIP: According to the Constitution, all applications for membership are to be approved by the Executive Committee. You will be advised of the outcome of your application, and if accepted as a member of the Fund, your membership will take effect from the first payroll deduction. Current membership rate is $16 per fortnight, and advice from the ATO is that this is tax deductible. You will receive a statement of contributions at the end of the financial year. I hereby apply for membership of the Legal Fund of State School Leaders, and understand that if my application is accepted, my membership will be effective from the date of the first payroll deduction. I certify that the information I have provided above is accurate.
I Agree Date
Payroll Deduction Authority
Following the approval of my application for membership by the Executive Committee of the Legal Fund of State School Leaders, I authorise a payroll deduction of $16.00 per fortnight to be paid to the Legal Fund of State School Leaders' account at SATISFAC. I understand that my membership will not be effective until the first payroll deduction, and that this deduction may be increased in future years to an amount in proportion to any increase in the annual membership fee set each year at the Annual General Meeting of the Fund.
Full Name:
ID Number:
Current Location:
Current Position:
The Legal Fund of State School Leaders - independent, non-political and having no affiliation with any professional association or union.
