Renewal Form

I am a

In(Required)

ACT

NSW

I am employed as a(Required)

Teacher

Teacher librarian

Coordinator/Leadership 1

Coordinator/Leadership 2

Coordinator/Leadership 3

Religious Education Coordinator

Head of Campus/School

Assistant Principal/Deputy Principal/Leadership 4

Life Educator

Director of an Early Childhood Centre

Early Childhood Teacher

Support Staff – Clerical Employee

Support Staff – Senior Clerical

Support Staff – School Assistant (Lan/Library etc)

Support Staff – Teachers’ Aide

Canteen and Uniform

Aboriginal Educational Worker

Maintenance and Outdoor Staff

General Operational – Bus Driver

General Operational – Cleaner

CEO Office Staff

Boarding House Staff

Welfare/Youth Worker/Chaplin

Nurse

Trainee/Apprentice/Youth Minister

Business Manager

CEO Professional Staff

Counsellor/Psychologist

Therapist

ECS Professional Staff

Other Professional/Senior Administrative

Educator

I work(Required)

Full time

Part time

Casual

Other

Earning(Required)

Full-time, Earn less than $145k

FULL-LEAD2 - Earn $145K or more

FULL-LEAD1 - Earn $160K or more

Full time support more than 30 hours per week

Earning(Required)

Post Secondary/ELICOS (15 hours or more per week face to face teaching)

Earning(Required)

2 days per fortnight

4 days per fortnight

5 days per fortnight

6 days per fortnight

8 days per fortnight

21 to 30 hours per week

11 to 20 hours per week

0 to 10 hours per week

Earning(Required)

Post Secondary/ELICOS (14 hours or less per week face to face teaching)

Earning(Required)

Casual

ELICOS/Business College Extended Casual

More than 10 days/year

Earning(Required)

Leave without pay

Parental leave

Unemployed

Retired

My workplace is(Required)

Are you registered with NESA/TQI:(Required)

Yes

NESA Number

TQI Number

Accreditation Level

Congratulations! You will receive 3 months free membership after your initial payment.

Membership Number

Surname

First name

Middle name

Date of birth(Required)

DD slash MM slash YYYY

I identify as(Required)

Male

Female

Unspecified

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Address

Postal address

Suburb

State(Required)

Postcode

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Contact

Phone

Mobile

Primary email

Secondary email

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Account

Untitled(Required)

All details are correct

I want to pay(Required)

Fortnightly

Monthly

Quarterly

Annually

Your fortnightly payment will be

$ 0

(Initial payment will be pro-rata)

If you have any queries in relation to your payment, please contact membership@ieu.asn.au

Current amount owing is

$ 0

Current amount owing is

$ 0

Current amount owing is

$ 0

Current amount owing is

$ 0

by(Required)

Payroll deductions

Direct debit

Fortnightly direct debit payments are processed on the Friday of your pay week. Please select your next pay date from the calendar below(Required)

DD slash MM slash YYYY

by(Required)

Automatic Credit card

Direct debit

by(Required)

Manual Credit card

Automatic Credit card

Direct debit

This is an ongoing automatic payment and will continue until you contact the IEU to cease payment.

Card Type(Required)

Name on card

Card number

Expiry

CVV* (3 to 4 digit number on back of card)

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direct debit

Account holder's name

Account No.

BSB No.

Name of financial institute

Branch

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Payroll Deductions

I hereby give authority to my employer

To deduct my IEU subscription (in equal installments) from my salary, to commence from the next pay period. I understand that this authority will remain in force until cancelled by me in writing.

Employee pin No. (if applicable)

Untitled(Required)

I have read and understand the Service Agreement

Untitled(Required)

Non Member Policy.
No assistance will be given to non-members. No assistance will be given to new members on serious matters relating to their employment which arose prior to joining.

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I have read and understand the IEU Privacy Policy

Untitled(Required)

I apply for membership of the NSW/ACT Branch of the Independent Education Union of Australia (ABN: 91 925 562 384) and the associated State body, the NSW Independent Education Union (ABN: 20 493 1 56 594) from receipt of the first payment of my membership fees. I agree to abide by the rules of these organisations. I understand that I can resign from the Union at any time by giving notice in writing to the Secretary.