Online Application Form Member DetailsName* First Last PersonIDMobile Number*Email* Teaching Background*School DetailsSchool Name*School Address* Street Address Address Line 2 Suburb State Postcode School Phone*School Email* Application TypeApplying as a* Principal of a NSW Government School Co-Principal of a NSW Government School Relieving Principal of a NSW Government School Date of Entry on Duty as Principal at this School* DD slash MM slash YYYY Previous SchoolPrevious PositionDate of Commencement as Co-Principal at this School* DD slash MM slash YYYY FTE (eg 4)Name of SubstantiveDate of commencement of relieving duties at this School* DD slash MM slash YYYY End date (if known) DD slash MM slash YYYY 12 months or more? Yes No Previous PositionPayment DetailsPayment Method*SelectDirect salary debitEdConnectDirect Credit of annual payment to bank accountCredit CardMembers may elect to pay by direct debit from salary. As this can take a few weeks to organise, members may be asked to pay any arrears once the starting date is known. Members will be advised of amounts due. The amount debited is based on 26 pay periods per year and it will be reported separately on the pay advice notice. It will also be reported on your Payment Summary for taxation purposes.Consent* I authorise a payroll deduction per fortnight for my membership of the NSW Secondary Principals Council (NSW SPC). I understand that if I wish to discontinue my membership with the NSW SPC that it is my responsibility to notify the treasurer in writing and to notify salaries to cancel direct debit deductions.*Consent* I authorise you a payroll deduction per fortnight from my salary to be remitted to the NSW Secondary Principals’ Council.*All payments committed on my behalf to this authority shall be deemed to be payments by me personally. This authority is to continue until such time as it is withdrawn by me in writing. In consideration of your consenting to make such deduction and payment as above, I agree for myself, my executors, administrators and assigns to hold Her Majesty, the Department of Education and every employee thereof harmless and indemnified against any claim arising out of any act or omission to act in pursuant of this authority or any failure to make deductions and remittances as authorised herein.(invoice will be sent to the email provided above) Membership Online Application Form