SASPA Full Membership DfE ID Number* Name* First Last GenderMaleFemaleNon-BinaryI prefer not to stateEmail* (@schools.sa.edu.au)Mobile Phone*Position Title*Select OneTeacherCoordinatorSenior LeaderAssistant PrincipalDeputy PrincipalPrincipalPosition LevelSelect OneB1B2B3B4B5B6A1A2A3A4A5A6A7A8A9School or Site Name* School or Site Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country School or Site LocationMetroCountryIndex of Disadvantage1234567Category of SchoolAboriginal/AnanguArea/RuralCombined (B-12/R-12)Secondary/HighSpecialPortfolioPlease select oneBerriFelixstow 1Felixstow 2Felixstow 3Felixstow 4Flinders Park 1Flinders Park 2Flinders Park 3Flinders Park 4Gawler 1Gawler 2KadinaMt Barker 1Mt Barker 2Mt Gambier 1Mt Gambier 2Murray Bridge 1Murray Bridge 2Noarlunga 1Noarlunga 2Noarlunga 3Noarlunga 4Para Hills 1Para Hills 2Para Hills 3Para Hills 4Port Augusta 1Port Augusta 2/WhyallaPort Lincoln 1Port Lincoln 2Port PirieHow 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 optionAuthorising 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 requiredSignature Reset signature Signature locked. Reset to sign again 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. Δ Interested in joining our Strategic Network Groups? Click here! Membership SASPA Full Membership SASPA Associate Membership Application SASPA Member Change of Details Membership Benefits