ASCA

Membership Application

Please fill out this form.

Application type

Name of School / College

School type (please select)

Primary
Secondary
P-10
P-12

State
Independent
Catholic

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Street Address

Postal Address

Phone

Principal

Principal Email

Business Manager

Business Manager Email

Please complete for canteen purchases

Contact / Canteen Manager

Canteen Email

Canteen Phone

Canteen Operator Firm's Name

School Authorisation

The Principal of each school must nominate someone who is to become the member of ASCA on behalf of the school. The Principal can nominate himself or herself or any other person.

School Nominee – Name

Position

Person nominated by the Principal

Date