SASPA Full Membership

DfE ID Number*
Name*
First Last
Gender
Email*

(@schools.sa.edu.au)
Mobile Phone*
Position Title*
Position Level
School or Site Name*
School or Site Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
School or Site Location
Index of Disadvantage
Category of School
Portfolio
How did you hear about SASPA?
- Principal Referral
- Colleague Referral
- Social Media
- SASPA Marketing Email
Payment Preference*
- I would like SASPA to deduct fortnightly payments of $30.00 from my DfE salary
- Please email an invoice to me for full annual payment
- Please invoice my school for my annual membership
Please select ONE option. If you selected invoice option an invoice will be sent to your provided email address after you submit this form.
Only fill in for school invoice option
Authorising Prinicpal Name
First Last
Please include this if you have selected for your school to pay for your membership. This person will be notified via email of SASPA's invoice.
Authorising Principal Email
School Finance Officer Name
First Last
School Finance Officer Email
Signature required
Signature
PLEASE USE YOUR MOUSE TO SIGN YOUR NAME BY MOVING THE MOUSE CURSOR OVER THE BOXED AREA, HOLDING DOWN THE LEFT CLICK MOUSE BUTTON AND WRITING YOUR NAME/SIGNATURE.

Only fill in for school invoice option