Music Teachers’ Association of Queensland Inc
Membership Application Form
Type into the fields in this form, print the completed form, just sign where applicable and post to the MTAQ Secretary, Suite 26, 200 Moggill Road, Taringa, QLD 4068 or the relevant branch Secretary along with required details.
Tick the Branch that you wish to join;
Brisbane Biloela Cairns Gold Coast Mackay Rockhampton
Sunshine Coast Toowoomba Townsville
PERSONAL DETAILS
Title Surname First Name/s
Address Postcode
Phone Mobile
Email Date of Birth
APPLICATION CATEGORY
(Please note it is now a legislated requirement that all volunteers and teachers working in Queensland with children under the age of 18 must hold a current Blue Card/“working with children” suitability card. Information regarding the issuing of Blue Cards and the required Written Risk Management Strategy can be found on the Commission for Children and Young People and Child Guardian website, www.ccypcg.qld.gov.au. - for further information, please phone: 1800 113 611. For your assistance, MTAQ has provided a template for a Written Risk Management Strategy. It is available online on our Members Only Page - for more information, please contact Kerry at mtaq@mtaq.org.au)
Category ; Professional Associate Student Friend Journal Subscriber
Please note that MTAQ informs you that all teachers, who teach children under 18 years, ensure they obtain a “working with children” suitability card from the Queensland Government – for further information, please phone: 1800 113 611)
Instrument(s) / Subject(s) you teach
List ONLY instruments / subjects for which qualifications have been attained – only these subjects can be referred.
Qualifications (include name of institution)
Performance certificate level is NOT sufficient for teaching membership - Refer to requirements on entry page.
For Associate Membership applications only (Please answer the next four questions)
1/ MTAQ Branch that you will be applying to join:
2/ I am presenting students for examinations, please tick one: Yes No
3/ My performance history (e.g. recitals) are:
4/ My teaching experience is:
Please tick if you DO NOT wish to be listed on MTAQ website.
You will automatically be listed on MTAQ website for referral, if your application is accepted) Please note: For MTAQ related events, members are covered under the Association’s Public Liability Insurance, which covers up to $10,000,000.00 for any one occurrence. This application must be proposed and seconded by members of the Association.
Proposed By; Signature Name (Printed) MTAQ Member No
Seconded By; Signature Name (Printed) MTAQ Member No
Please note:
Each application must be proposed and seconded by a current MTAQ member, in accordance with the Office of Fair Trading ‘Model Rules’. In the event that this is not possible please contact the secretary on 3870 4146 or mtaq@mtaq.org.au to make other arrangements.
PAyment dETAILS
Payment Method Cheque Money Order MasterCard Visa
(3% merchant fee for all Credit Card payments applies)
Card Number Expiry Date
Cardholder Name
Signature..................................................Total Amount Enclosed $.......................
Applicants signature ........................................................... Date….../........./..........
Thank you for your application, which will be considered at the next monthly Council Meeting,
which are held in the middle of each month.
Check List
Have you included a completed application form?
Have you included your administration fee? (Application will only be processed if administration fee is included)
Have you included full membership fee? (D Applicants only) Have you included the required authorised copies of documents and academic transcripts listed?
Professional Member (A) Musical Qualifications Academic Transcripts and/or details of 5 years examination results of students
Proof of own highest performance level achieved (Prof (A) and Assoc (B) Applicants only) Proof of study (C Applicants only)
Have all copies of documents been authorised (sighted and signed by a Justice of the Peace, lawyer, etc)?
Have you enclosed your marriage certificate if applicable? (Only if the name on your qualifications is different to your present name)
Please post your completed form and supporting documents to Secretary, Suite 26, 200 Moggill Road, Taringa, QLD 4068
or the Secretary of the Branch that you have chosen
When you have completed printing your application, click the button below to take you back to the MTAQ site.