Kiama U3A


Membership Form

Application for membership of Kiama U3A

(Clause 3 (1) of Kiama U3A Constitution)

(Kiama U3A incorporated under the Associations Incorporation Act 2009)

This form should be completed by a new applicant for membership of Kiama U3A or by a previous member of the association whose membership has lapsed.

Membership of Kiama U3A is for the duration of any calendar year. Membership continues if annual subscriptions are paid by the end of the enrolment period at the beginning of Term 2 of the following year. If subscriptions are not paid by this time, membership automatically lapses and a returning member must complete this form


.I, ……………………………………………………………………………………………………………………

[full name of applicant]

of …………………………………………………………………………………………………………………..

[address]

………………………………………………postcode………………………….Phone………………………

e-mail address………………………………………………………………………………………………..

(required for distribution of Kiama U3A Newsletter after January 2016)

hereby apply to become a member Kiama U3A. In the event of my admission as a member,

I agree to be bound by the constitution of the association for the time being in force.

 

Signature of applicant                                                                      Date


.I, ………………………………………………………………………………………[full name]

being a member of the association, nominate the applicant for membership of the association.

 

Signature of Member………………………………………………..     Date

 I, ………………………………………………………………………………………[full name]

being a member of the association, second the nomination for membership of the association.

 

Signature of seconder  ……………………………………………………….  Date


 A few Questions to help the Committee (all are optional)

What has been your major life occupation? ………………………………………………………………………………………………….

Do you have skills or expertise that you can offer Kiama U3A?……………………………………………………………………………

Would you consider giving a one hour Monday Talk on a subject in which you have an interest?         Yes/    No

Would you consider leading a course on a subject in which you have an interest?                                  Yes/    No

In the future would you be prepared to join the Committee of Kiama U3A                                            Yes /   No

How did you hear of Kiama U3A?…………………………………………………………………………………………………………….


Membership form ver Oct 2015                Stamp Paid                   Records                          Badge