This is Prod
Type
School
TAFE
Student
Employee/Payroll Number
First Name
Preferred Name
Last Name
Gender
--Select--
Male
Female
Unknown
Other
Non-Binary
Home Address
Address Line 1
*
Address Line 2
Address Line 3
City
*
State
*
QLD
NSW
ACT
NT
SA
TAS
VIC
WA
Postcode
*
Is your postal address different?
Postal Address
Address Line 1
*
Address Line 2
Address Line 3
City
*
State
*
QLD
NSW
ACT
NT
SA
TAS
VIC
WA
Postcode
*
Preferred Email Address
Mobile Phone Number
Date of Birth
I would like to be contacted by TUH Health Fund.
www.tuh.com.au
First Nations recognition - I wish to identify as:
--Select--
Aboriginal and Torres Strait Islander descent
Aboriginal descent
Torres Strait Islander descent
Please tick if you wish to be part of the Aboriginal and Torres Strait Islander Education Network
Please tick for LGBTIQ+ Recognition
Please tick if you wish to be part of the Pride Action Network (PAN)
Expected Graduation Year Month
Terms and Conditions
As an associate student member, my membership is free while I am studying. When I begin to teach, I will need to transition to full membership and make payment based on rules in the QTU Constitution and Rules.
I accept the terms and conditions of QTU Membership.