Member application form

Organisation name/legal name *

Trading name (if different)

ABN *

Primary contact

First name *

Last name *

Position *

Organisation address (Head office) *

Email Address

Phone number *

Organisation size

Small (5 - 19 employees)Medium (20 - 199 employees)Large (200+ employees)

Summary of organisationWhat is your core business?

Membership category *

Ordinary member - employerOrdinary member - employeeAssociate member

Please indicate which type of membership category you are applying for (please note criteria is in section above)

Please describe how your application (as the applicant) complies with the eligibility criteria above for your chosen membership category *

Please read our Constitution and JSC Code of Conduct before proceeding.

Each Member organisation is asked to nominate one person who will be their central contact to receive notices and important announcements. You may nominate other people to participate in projects and activities. There is no limit to these numbers, however every person who participates will need to agree to comply with our core values, including respectfully dealing with all other participants as well as the JSC Code of Conduct as issued by the Department of Employment and Workforce Relations (DEWR).

Have you read and do you agree to the Constitution and our Code of Conduct? *

Yes, I have read and understoodNo, I have more questions

Conditions of becoming a member

The applicant, on behalf of the organisation agrees that they have read, understood, and will comply with the Mining and Automotive Skills Alliance Constitution and associated bylaws. The applicant is committed to adhering to the rules of association and the conduct of members as set out in the Jobs and Skills Council Code of Conduct.

Consent

Yes, I have read and understood the aboveNo, I have more questions

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