Student Teacher For Office Use Only Membership Application FREEPHONE: 0800 NZEI HELP (0800 693443) from a landline FREEPOST: Post completed form to us at Freepost 3978, NZEI Membership, PO Box 466 Wellington 6140 WEBSITE: www.nzei.org.nz PERSONAL INFORMATION Surname or Family Name Given or First Names Are you: Male Female Date of birth: / / To enable NZEI Te Riu Roa to respond to the needs of a diverse membership please indicate which ethnic group you most closely identify with: Are you: European Maori Polynesian Other CONTACT DETAILS What is your home postal address? Home telephone ( ) Email Mobile EDUCATION DETAILS I am currently training to be a Primary Teacher Early Childhood Teacher I am training at I expect to start employment in the education sector in the year 20 MEMBERSHIP NETWORKS NZEI Te Riu Roa has a network of branches where members can meet to discuss education policy, negotiations, NZEI campaigns and events in their region. Members will be enrolled in the NZEI Te Riu Roa branch in which their training centre is located unless one of the following options is selected. Please tick ONE of the following: ¯ The local aronui tomua The branch where I live Komiti Pasifika Auckland or Wellington NZEI also has a network especially for young, new and student teachers (YMN). To find out more, contact firstname.lastname@example.org. Membership is only $5 a year for student teachers! See reverse. BENEFITS FOR YOU EBS Healthcare (medical insurance) comes at no cost while you’re training! Special conditions apply – call EBS to find out more on 0800 800 441. Your membership also gives you a free copy of Education Aotearoa, a magazine packed full of interesting articles and issues you’ll want to read. Have more questions about membership? Call NZEI Te Riu Roa on 0800 NZEI HELP (0800 693 443) or visit www.nzei.org.nz PAYMENT - $5 a year It only costs $5 per annum to join us as a student teacher member! Payment by cheque or cash (no coins) should be attached to this form and sent to the freepost address. Please note that this fee only covers you for one year while you are training. When you start working in paid employment, you’ll need to contact us so we can send you out an application form for full membership. In training and employed? (Early childhood education centres) If you are employed and receiving a regular wage, you must pay the appropriate full NZEI subscription even though you are training. Complete the general application form for membership. If you need a form, call NZEI on 0800 NZEI HELP (0800 693 443), email email@example.com or download one from www.nzei.org.nz. Privacy NZEI Te Riu Roa holds the information you provide on this form to ensure you enjoy the full benefits of NZEI Te Riu Roa membership. It enables us to let you know about union activities you can participate in and helps us to provide a better service for all members. You can review and request correction of personal information held by NZEI Te Riu Roa at any time.
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