Join TEU membership form

Page 1

An invitation to join The Tertiary Education Union (TEU) represents the industrial and professional interests of staff in the New Zealand tertiary education system. The TEU is a strong advocate for a high quality, public tertiary education system and, as the major union in the tertiary education sector, its objectives include: • protecting the interests and furthering the rights of members through bargaining and representation; • advancing tertiary education, teaching and research and education in general; • maintaining and improving teaching and academic standards within New Zealand; • participating in the activities of tertiary education institutions and other agencies;

Tertiary Education Union Te Hautū Kahurangi 0 Aotearoa

For further information on TEU membership please contact your local organiser or the TEU national office Auckland

Phone (09) 815 8029 Email auckland@teu.ac.nz

Auckland University Phone (09) 373 7599, ext 85169 Email auckland@teu.ac.nz Hamilton

Phone (07) 850 9275 Email hamilton@teu.ac.nz

• advancing academic freedom; and

Waikato University Phone (07) 838 4531 Email hamilton@teu.ac.nz

• promoting gender equity and equal employment opportunities for staff.

Palmerston North

Phone (06) 350 5021 (06) 350 5285 Email palmerstonnorth@teu.ac.nz

Wellington

Refer National Office

Victoria University

Phone (04) 463 5058 Email wellington@teu.ac.nz

TEU members gain access to a range of membership benefits, including access to health insurance through EBS Health Care and discounted travel insurance.

Christchurch

Phone (03) 364 2485 or (03) 364 2768 Email christchurch@teu.ac.nz

All staff within the tertiary education sector are invited to join the TEU to participate in and enjoy the benefits of membership.

Lincoln

Phone (03) 325 3838, ext 8910 Email lincoln@teu.ac.nz

Dunedin

Phone (03) 479 5492 Email dunedin@teu.ac.nz

The strength of the TEU lies in its democratic structures and strong membership participation.

TEU subscriptions are based on a capped proportion of income, with current rates are available from your local TEU branch or the website: www.teu.ac.nz. To join the TEU, please return the completed application form to your local branch or the TEU National Office, PO Box 11 767, Wellington 6142.

TEU National Office

PO Box 11 767 Wellington 6142 Phone 0800 278 348 Email teu@teu.ac.nz

www.teu.ac.nz

Membership Form New Zealand Tertiary Education Union Te Hautū Kahurangi o Aotearoa


Membership application form Personal details

Employment status

Authorisation

Title Prof/Assoc prof/ Dr/ Ms/Miss/Mr/None

Please indicate your current position:

I hereby apply to become a member of the New Zealand Tertiary Education Union (TEU) or any succeeding organisation.

q Permanent

Please circle preferred option

Surname . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . First names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Fixed-term

If fixed-term please provide the expiry date of your current agreement. . . . . . . . . . . . . . . . . . . . . . . . . . . . Please indicate your type of employment agreement:

Please underline preferred name

Home address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Collective

q Individual

..............................................

Please indicate your current hours of work:

Home phone . . . . . . . . . . . . Mobile . . . . . . . . . . . . . . . .

q Full-time q Casual

Date of birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Please indicate your staff sector group:

Town/city . . . . . . . . . . . . . . . . . . Postcode . . . . . . . . . .

Optional

Gender

q Female

q Male

Ethnicity (Optional) Do you identify as Māori? q Yes

q No

or . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(please indicate ethnicity)

Employment details Institution/employer’s name and address ............................................. ............................................. ............................................. Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Worksite . . . . . . . . . . . . . Campus . . . . . . . . . . . . . . . . Department . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Faculty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Work phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Part-time/ Proportional

q Academic q General staff q Medical/dental q Joint clinical q Maintenance/cleaning Other . . . . . . . . . . . . . . . . . Network registration Optional

Network registration puts you in touch with other TEU members in your area of interest. Please tick the appropriate boxes to register your interest in any of the networks.

q Degree teaching q Health professionals q Part-time and fixed-term q Teacher educators For Office Use:

q E-education q Trades q Pasifika q Women

Membership No . . . . . . . . . . . . . . . . . . . . Date entered . . . . . . . . . . . . . . . . . . . . . .

q

The TEU is a union registered under the Employment Relations Act 2000 (“the act”) and is accordingly entitled to represent its members in any matter involving their collective interests as employees. I authorise the TEU (or any successor organisation) as my sole representative to settle, subject to ratification, a collective employment agreement binding on the TEU and my employer in relation to me. I give the TEU sole authority under sections 18(3) and 236 of the act to represent my individual rights as an employee, and to exercise any other rights and powers given to me under the act or otherwise in relation to my employment. I agree that my rights and obligations relating to bargaining and representation under the act or otherwise shall be exercised and carried out in accordance with the TEU rules and policies. In accordance with TEU policy, I agree that the TEU is not obliged to act on my behalf in any matter that arose prior to this application. I authorise the TEU to hold and use any information that I provide for any purpose that is in accordance with stated TEU objects. I also authorise my employer to deduct my TEU subscription from my salary at a rate advised by the TEU. This authority will remain in force for all periods of employment until revoked by me in writing. (A copy of the original is deemed to be sufficient authorisation to the employer).

Card sent

Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date employed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


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