CLTANT Memberships application form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

北澳中文教师协会

Family Name: *

Given Name: *

Date of Birth: *

YYYY

Postal Address: *

Mobile Number: *

Qualifications: *

What is your profession or current position/title? *

Tertiary Education Chinese teacher

High School Chinese teacher

Middle School Chinese teacher

Primary School Chinees teacher

Chinese Language Coordinator

Languages Coordinator

Pre-service teacher

University Administration

Other:

Please state your profession or current position/title if it is not listed above.

Current Employer : *

Teaching experiences in Australia (if you are a teacher) *

Are you currently registered to teach in Northern Territory? *

Yes

Membership category *Please note membership will expire on 31st December * Your membership is tax deductible. *

$25/ year - Full member (employed)

$15/year - Full member (seeking employment)

$15/year - Student member

Institutional member (2-4 teachers - $65/year, 5 - 7 teachers - $100/year, 8+ teachers - $180/year)

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report