Membership Application

Community & Public Sector Union Tasmania

Personal

First name

Last name

Gender

Do you identify as Aboriginal or Torres Strait Islander

Date of birth

Day

Month

Year

Contact

Mobile

Address

Suburb

State

Postcode

Employer

Address

Suburb

State

Postcode

Position Title

Employment

Gross Salary inc tax

e.g. 56,000

What is your FTE

e.g. Full time = 1, 3 days a week is .6

Band/Classification Level (including range and level if Known)

e.g. Band XX, Range X, Level X

Award / Agreement

e.g. HAHSA, TSSA

Subscription

What best describes your working arrangement?

Other

If you have a campaign or promotion code to use when joining, enter it here.

Campaign code

Optional

Are you an Education Support Personnel employee who is stood down during school holidays?
If you are stood down in the school holidays your union subs will be suspended.

Yes

I hereby apply to join the Community and Public Sector Union (State Public Services Federation Tasmania) Inc. and CPSU (State Public Services Federation Group, Tasmanian Branch) and agree to comply with all the union's rules and bylaws. I undertake to give 14 days' notice of resignation in writing to the Secretary. INFORMATION RELEASE: I hereby authorise and request my Pay Officer to advise the CPSU (SPSFT) Inc of the following employment information when requested: classification, date of resignation/retirement from employment and dates for periods of leave. This authority is to remain in force until revoked by me.