Institutional membership application/renewal form



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INSTITUTIONAL MEMBERSHIP APPLICATION/RENEWAL FORM
You are invited to renew or apply for Institutional Membership of Educate Plus for an annual fee of $990 (excl GST).

Institutional Membership provides you with 3 full memberships and an unlimited number of Associate Memberships.


Full benefits may be gained for the additional Members by payment of $100 (excl GST) per person. This fee will allow the full range of member benefits and can only be taken up as an add-on to Institutional Membership.
Items not included in Associate membership:

  • Access to Scholarships

  • Access to Educate Plus Special Awards (Trevor Wigney etc)

  • Use of post nominal M.Edplus & F.EdPlus – unless individual membership or add on membership is taken out – or they already hold a Fellowship.

  • Membership years criteria as part of the Fellow nomination unless individual membership/add-on membership is taken out.

  • Voting Rights

  • Ability to serve on a Chapter Committee


DETAILS


Institution Name

     

Institution Address: Street:

     

City:

     

Postcode:

     


Details of 3 full membership nominees ($990 excl GST)


An appointed representative should complete this form on behalf of their Institution.

1. Name:

Title

     

First Name

     

Surname

     

Position/Work title:

     

Email Address

     

Direct Line:

     

Mobile:

     




2. Name:

Title

     

First Name

     

Surname

     

Position/Work title:

     

Email Address

     

Direct Line:

     

Mobile:

     




3. Name:

Title

     

First Name

     

Surname

     

Position/Work title:

     

Email Address

     

Direct Line:

     

Mobile:

     


ADDITIONAL MEMBERS


Please add the names and details of all your additional members.

4. Name:

Title

     

First Name

     

Surname

     

Position/Work title:

     

Email Address

     

Direct Line:

     

Mobile:

     

Category (Select one)

Additional Full Member ($100)



Associate Member






5. Name:

Title

     

First Name

     

Surname

     

Position/Work title:

     

Email Address

     

Direct Line:

     

Mobile:

     

Category (Select one)

Additional Full Member ($100)



Associate Member






6. Name:

Title

     

First Name

     

Surname

     

Position/Work title:

     

Email Address

     

Direct Line:

     

Mobile:

     

Category (Select one)

Additional Full Member ($100)



Associate Member






7. Name:

Title

     

First Name

     

Surname

     

Position/Work title:

     

Email Address

     

Direct Line:

     

Mobile:

     

Category (Select one)

Additional Full Member ($100)



Associate Member






8. Name:

Title

     

First Name

     

Surname

     

Position/Work title:

     

Email Address

     

Direct Line:

     

Mobile:

     

Category (Select one)

Additional Full Member ($100)



Associate Member






9. Name:

Title

     

First Name

     

Surname

     

Position/Work title:

     

Email Address

     

Direct Line:

     

Mobile:

     

Category (Select one)

Additional Full Member ($100)



Associate Member




(add more if required)
Please save and send this form to membership@educateplus.edu.au
Based on the information provided above, your institution membership fee will be calculated and an invoice will be drawn up and emailed to you.

To whom should this invoice be sent?



Name:

     

Position:

     

Email address:

     

Notes:


  1. Members are not required to take out Institutional membership. (although this is encouraged) Individual membership options remain.

  2. Where members’ renewal dates differ, a pro rata calculation may be made to align them all.
    (Contact Operations Manager: membership@educateplus.edu.au )

  3. Associate Members can attend all Educate Plus events at ‘Member’ rates.

  4. Fellowship discount does not apply to Institutional member rates.


Benefit Summary

Full

Associate

Use of the M.Edplus post-nominal

Yes

No

Scholarships

Yes

No

Access to Training and Professional Development

Yes

Yes

Member rates for conferences

Yes

Yes

Access to Excellence Award Program

Yes

No

Potential for Fellowship

Yes

No

Voting Rights

Yes

No

Committee Representation

Yes

No




www.educateplus.edu.au | membership@educateplus.edu.au | 0413932600 + + + +




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