Extending your leave rate – Independent Education Union of Australia WA Branch

Member Number (if known)

Name *

First

Last

Please confirm the following details:

School or Organisation

If your school or organisation is not included, please write it below

Personal email *

Work email *

Preferred contact email - please select one only *

Personal email
Work email

Mobile phone *

Address (Unit number/Street Number Street Name) *

Suburb *

Postcode *

Do you wish to be recorded as being of Aboriginal or Torres Strait Islander descent? *

Yes
No

Please specify the type of leave you are on eg, parental, leave without pay etc. *

Please specify your expected date of return - an approximate date is fine *

Many thanks for updating your details

Please make sure you have selected the correct fields and that you have made a selection for each. Please note that if you need to change any financial or other details, you can do so at any time by clicking here: https://ieuwa.org.au/contact-us/update-details/