DEAN - Disability Education Association NSW/ACT Inc.

(Rule 3 (1))

Application for Membership of Association

Disability Education Association of NSW/ACT Incorporated (incorporated under the Associations Incorporation Act 1984)

I, [insert full name of applicant] of [insert address] hereby apply to become a member of the above named incorporated association. In the event of my admission as a member, I agree to be bound by the rules of the association for the time being in force.

Signature of applicant

Date:

I, [insert full name] a member for the association, nominate the applicant, who is personally known to me, for membership of the association.

Signature of proposer

Date: 

I, [insert full name] a member for the association, second the nomination of the applicant, who is personally known to me, for membership of the association.

Signature of seconder

Date: