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Clubs & Societies application pack 2012


                                                   General inquiries: +61 3 9925 2473
                                                   General fax: +61 3 9925 3705
                                                   PO Box 12387 Franklin Street, Melbourne Victoria 8006
                                                   www.su.rmit.edu.au




Please       City Campus           TAFE-Carlton               Brunswick
return to:   Bld 8, Lvl 3          Bld 57, Lvl 4              Bld 514, Lv2
             9925 3706             9925 4769                  9925 9478

             Bourke St             Bundoora                   PO Box 12387
             Bld 108, Lvl 3        Bld 204, Lv1               Franklin St
             9925 5647             9925 7226                  Melbourne 8006
Clubs & Societies application pack 2012


Application for affiliation
or Re-affiliation
MUST be completed annually

Checklist
Have you:

    got the signatures of your ten founding members

    elected your Office Bearers (President, Vice-Pres, Treasurer and Secretary)

    filled out all the fields required for your FOUR Office Bearers

    elected your signatories (At least TWO) for the Club/Society bank account? (NB: These must be Office Bearers)

    checked that the signatories are the same on the RUSU and CBA forms

    ensured that TWO office bearers are current RUSU Members.

Great!
Now its time to book an appointment with the Clubs and Societies Officer
– they can be emailed at jacqueline.out@rmit.edu.au

For the meeting
    Make sure that the signatories to the bank account are available for this meeting (they must attend).

    Be sure to bring 100 points of ID (usually passport, medicare card, license and/or bank card).
Clubs & Societies application pack 2012



Affiliation application form
Please write clearly, using block letters throughout.
•	   Each club must have a minimum of 10 members.
•	   Student numbers will be checked so that signatories are current students.
•	   Club executive officers must be included in thi slist of 10 members.



I, the undersigned, declare my interest in being a founding member of the _________________________________________
______________________________ (insert name of club) as from the date ______/______/______


 Name                     Email                     Phone                   Student No.      Signature
Clubs & Societies application pack 2012


Office Bearers form
Part A
Explanatory notes
A 1	     Information C & S regulatory requirement
	The information requested for this form is required by C  S General Regulations. If any fields are not completed,
  the CS Officer will not be able to affiliate the club.
A 2	Time of completion and lodgement
	This form will be completed and lodged with the C  S Department immediately following either the election or
  appointment of office bearers.
A. 3	    Alterations to information
	 there is any change of office-bearers or in the contact details, then a new form must be submitted promptly to
  If
  the C  S Department.
A. 4	    Alterative titles for officers
                                                         	
	        Please state any alterative titles to the standard office-bearing positions.
A. 5	    Bank account signatories
	 least TWO of the FOUR office-bearers will be authorised to operate on the designed bank account of the C 
  At
  S affiliated body as established at the RMIT branch of Commonwealth Bank of Australia.
A. 6	    Contact details
	 the boxes next to the contact details in Part C are ticked and signed then it is assumed that the C  S
  If
  Department has permission to give only those relevant details to anyone enquiring about a C  S body.
A.7	     Club constitution
	Unless otherwise requested by the C  S Body, the club will be bound by the model constitution for clubs and
  societies, available upon request from the C  S Officer.
A. 8	    Original and copies of form
	(i) Original
	The original form will be retained by the C  S Department.
	 Affiliate Copy
  (ii)
	 copy will be made, upon request, for the particular C  S affiliated body.
  A
	 Bank Copy
  (iii)
	The Commonwealth Bank of Australia may take a physical or electronic copy for their records.
A. 9	    Used in conjunction with other forms
	This form is to used in conjunction with the Commonwealth Bank of Australia form: ”Authority for Non Personal
  Accounts” and the C  S Department form: “C  S Affiliate Bank Account Operation Agreement Form.” Both
  forms are obtainable from a RUSU information desk or you can email the C  S Officer jcqueline.out@rmit.edu.au
A. 10	 Security and confidentially of information
	The C  S Department will ensure at all times, the security and confidentially of the information provided to it on
  this form.
A. 11	 Information handled under the principles of the privacy act
	The C  S Department handles such information and will only disclose the contents to RSU staff and office-
  bearers in accordance with the 10 national privacy principles set out in the Commonwealth Government Privacy
  Act. Such principles can be viewed at the website of the Office of the Federal Privacy Commission specially at
  www.privacy.gov.au/publications/hpps.01.html
Clubs  Societies application pack 2012



Part B 	
General details
State the name of the club/society/association etc. In full. No abbreviations.
B. 1	      Official name
	_________________________________________________________________________________________________


B.2	       Write a paragraph describing what the group is and what it does
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________
	_________________________________________________________________________________________________




Clubs  Societies department use only
        Signed CBA Authority for non personal account?
Date signed: ____/____/____
CBA account number: _________________________________________
Clubs  Societies application pack 2012


Part C 	
Executive committee personal details
C. 1	      President
Please use capital letters throughout this section
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
SU member No.: _________________________________________________________________________________________

(Tick)        Male	      Female	          Transgender	            Date of birth: ____/____/____



Residential address only
Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient
Number	 ____________ Street name: _______________________________________________________________________
      :
Suburb: ___________________________________________ Postcode:____________________________________________
Land line: ____________________________________ Mobile: ____________________________________________________
Student ID number: ___________________________ E-mail: ____________________________________________________
Name of program: ________________________________________________________________________________________
Year level of study: __________________________________
Number of years at RMIT: ____________________________



Contact authorisation
Yes, i give permission to be a contact person for this club/society/association etc.
What of the above relevant information can be released to the public?

        E-mail	          Mobile	          Home phone


Signature: ______________________________________
Clubs  Societies application pack 2012



Part C
Executive committee personal details
C. 2	      Vice-president
Please use capital letters throughout this section
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
SU member No.: _________________________________________________________________________________________

(Tick)        Male	         Female	       Transgender	            Date of birth: ____/____/____



Residential address only
Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient
Number	 ____________ Street name: _______________________________________________________________________
      :
Suburb: ___________________________________________ Postcode:____________________________________________
Land line: ____________________________________ Mobile: ____________________________________________________
Student ID number: ___________________________ E-mail: ____________________________________________________
Name of program: ________________________________________________________________________________________
Year level of study: __________________________________
Number of years at RMIT: ____________________________



Contact authorisation
Yes, i give permission to be a contact person for this club/society/association etc.
What of the above relevant information can be released to the public?

        E-mail	             Mobile	       Home phone


Signature: ______________________________________
Clubs  Societies application pack 2012



Part C
Executive committee personal details
C. 3	      Secretary
Please use capital letters throughout this section
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
SU member No.: _________________________________________________________________________________________

(Tick)        Male	      Female	          Transgender	            Date of birth: ____/____/____



Residential address only
Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient
Number	 ____________ Street name: _______________________________________________________________________
      :
Suburb: ___________________________________________ Postcode:____________________________________________
Land line: ____________________________________ Mobile: ____________________________________________________
Student ID number: ___________________________ E-mail: ____________________________________________________
Name of program: ________________________________________________________________________________________
Year level of study: __________________________________
Number of years at RMIT: ____________________________



Contact authorisation
Yes, i give permission to be a contact person for this club/society/association etc.
What of the above relevant information can be released to the public?

        E-mail	          Mobile	          Home phone



Signature: ______________________________________
Clubs  Societies application pack 2012



Part C
Executive committee personal details
C. 4	      Treasurer
Please use capital letters throughout this section
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
SU member No.: _________________________________________________________________________________________

(Tick)        Male	      Female	          Transgender	            Date of birth: ____/____/____



Residential address only
Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient
Number	 ____________ Street name: _______________________________________________________________________
      :
Suburb: ___________________________________________ Postcode:____________________________________________
Land line: ____________________________________ Mobile: ____________________________________________________
Student ID number: ___________________________ E-mail: ____________________________________________________
Name of program: ________________________________________________________________________________________
Year level of study: __________________________________
Number of years at RMIT: ____________________________



Contact authorisation
Yes, i give permission to be a contact person for this club/society/association etc.
What of the above relevant information can be released to the public?

        E-mail	          Mobile	          Home phone



Signature: ______________________________________
Clubs  Societies application pack 2012



CS affiliate bank account
Operation agreement form
Signatories to the said account (at least two)


1.0 President	          please use block letters
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
Signature: _______________________________________________________________________________________________


2.0 Vice-president	     please use block letters
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
Signature: _______________________________________________________________________________________________


3.0 Secretary	          please use block letters
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
Signature: _______________________________________________________________________________________________


4.0 Treasurer	          please use block letters
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
Signature: _______________________________________________________________________________________________


Original and copies of form
The original form will be retained by the clubs and societies department. A copy will be made for the particular cs
affiliated body. A copy will be made by the commonwealth bank of australia.




Clubs  Societies department use only
     Received current office bearers lists.
Date received: ____/____/____                                               STAMP

     Signed and stamped by clubs and societies officer

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Rusu 2012 clubs affil pack

  • 1. Clubs & Societies application pack 2012 General inquiries: +61 3 9925 2473 General fax: +61 3 9925 3705 PO Box 12387 Franklin Street, Melbourne Victoria 8006 www.su.rmit.edu.au Please City Campus TAFE-Carlton Brunswick return to: Bld 8, Lvl 3 Bld 57, Lvl 4 Bld 514, Lv2 9925 3706 9925 4769 9925 9478 Bourke St Bundoora PO Box 12387 Bld 108, Lvl 3 Bld 204, Lv1 Franklin St 9925 5647 9925 7226 Melbourne 8006
  • 2. Clubs & Societies application pack 2012 Application for affiliation or Re-affiliation MUST be completed annually Checklist Have you: got the signatures of your ten founding members elected your Office Bearers (President, Vice-Pres, Treasurer and Secretary) filled out all the fields required for your FOUR Office Bearers elected your signatories (At least TWO) for the Club/Society bank account? (NB: These must be Office Bearers) checked that the signatories are the same on the RUSU and CBA forms ensured that TWO office bearers are current RUSU Members. Great! Now its time to book an appointment with the Clubs and Societies Officer – they can be emailed at jacqueline.out@rmit.edu.au For the meeting Make sure that the signatories to the bank account are available for this meeting (they must attend). Be sure to bring 100 points of ID (usually passport, medicare card, license and/or bank card).
  • 3. Clubs & Societies application pack 2012 Affiliation application form Please write clearly, using block letters throughout. • Each club must have a minimum of 10 members. • Student numbers will be checked so that signatories are current students. • Club executive officers must be included in thi slist of 10 members. I, the undersigned, declare my interest in being a founding member of the _________________________________________ ______________________________ (insert name of club) as from the date ______/______/______ Name Email Phone Student No. Signature
  • 4. Clubs & Societies application pack 2012 Office Bearers form Part A Explanatory notes A 1 Information C & S regulatory requirement The information requested for this form is required by C S General Regulations. If any fields are not completed, the CS Officer will not be able to affiliate the club. A 2 Time of completion and lodgement This form will be completed and lodged with the C S Department immediately following either the election or appointment of office bearers. A. 3 Alterations to information there is any change of office-bearers or in the contact details, then a new form must be submitted promptly to If the C S Department. A. 4 Alterative titles for officers Please state any alterative titles to the standard office-bearing positions. A. 5 Bank account signatories least TWO of the FOUR office-bearers will be authorised to operate on the designed bank account of the C At S affiliated body as established at the RMIT branch of Commonwealth Bank of Australia. A. 6 Contact details the boxes next to the contact details in Part C are ticked and signed then it is assumed that the C S If Department has permission to give only those relevant details to anyone enquiring about a C S body. A.7 Club constitution Unless otherwise requested by the C S Body, the club will be bound by the model constitution for clubs and societies, available upon request from the C S Officer. A. 8 Original and copies of form (i) Original The original form will be retained by the C S Department. Affiliate Copy (ii) copy will be made, upon request, for the particular C S affiliated body. A Bank Copy (iii) The Commonwealth Bank of Australia may take a physical or electronic copy for their records. A. 9 Used in conjunction with other forms This form is to used in conjunction with the Commonwealth Bank of Australia form: ”Authority for Non Personal Accounts” and the C S Department form: “C S Affiliate Bank Account Operation Agreement Form.” Both forms are obtainable from a RUSU information desk or you can email the C S Officer jcqueline.out@rmit.edu.au A. 10 Security and confidentially of information The C S Department will ensure at all times, the security and confidentially of the information provided to it on this form. A. 11 Information handled under the principles of the privacy act The C S Department handles such information and will only disclose the contents to RSU staff and office- bearers in accordance with the 10 national privacy principles set out in the Commonwealth Government Privacy Act. Such principles can be viewed at the website of the Office of the Federal Privacy Commission specially at www.privacy.gov.au/publications/hpps.01.html
  • 5. Clubs Societies application pack 2012 Part B General details State the name of the club/society/association etc. In full. No abbreviations. B. 1 Official name _________________________________________________________________________________________________ B.2 Write a paragraph describing what the group is and what it does _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Clubs Societies department use only Signed CBA Authority for non personal account? Date signed: ____/____/____ CBA account number: _________________________________________
  • 6. Clubs Societies application pack 2012 Part C Executive committee personal details C. 1 President Please use capital letters throughout this section Given name: _____________________________________________________________________________________________ Family name: ____________________________________________________________________________________________ SU member No.: _________________________________________________________________________________________ (Tick) Male Female Transgender Date of birth: ____/____/____ Residential address only Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient Number ____________ Street name: _______________________________________________________________________ : Suburb: ___________________________________________ Postcode:____________________________________________ Land line: ____________________________________ Mobile: ____________________________________________________ Student ID number: ___________________________ E-mail: ____________________________________________________ Name of program: ________________________________________________________________________________________ Year level of study: __________________________________ Number of years at RMIT: ____________________________ Contact authorisation Yes, i give permission to be a contact person for this club/society/association etc. What of the above relevant information can be released to the public? E-mail Mobile Home phone Signature: ______________________________________
  • 7. Clubs Societies application pack 2012 Part C Executive committee personal details C. 2 Vice-president Please use capital letters throughout this section Given name: _____________________________________________________________________________________________ Family name: ____________________________________________________________________________________________ SU member No.: _________________________________________________________________________________________ (Tick) Male Female Transgender Date of birth: ____/____/____ Residential address only Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient Number ____________ Street name: _______________________________________________________________________ : Suburb: ___________________________________________ Postcode:____________________________________________ Land line: ____________________________________ Mobile: ____________________________________________________ Student ID number: ___________________________ E-mail: ____________________________________________________ Name of program: ________________________________________________________________________________________ Year level of study: __________________________________ Number of years at RMIT: ____________________________ Contact authorisation Yes, i give permission to be a contact person for this club/society/association etc. What of the above relevant information can be released to the public? E-mail Mobile Home phone Signature: ______________________________________
  • 8. Clubs Societies application pack 2012 Part C Executive committee personal details C. 3 Secretary Please use capital letters throughout this section Given name: _____________________________________________________________________________________________ Family name: ____________________________________________________________________________________________ SU member No.: _________________________________________________________________________________________ (Tick) Male Female Transgender Date of birth: ____/____/____ Residential address only Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient Number ____________ Street name: _______________________________________________________________________ : Suburb: ___________________________________________ Postcode:____________________________________________ Land line: ____________________________________ Mobile: ____________________________________________________ Student ID number: ___________________________ E-mail: ____________________________________________________ Name of program: ________________________________________________________________________________________ Year level of study: __________________________________ Number of years at RMIT: ____________________________ Contact authorisation Yes, i give permission to be a contact person for this club/society/association etc. What of the above relevant information can be released to the public? E-mail Mobile Home phone Signature: ______________________________________
  • 9. Clubs Societies application pack 2012 Part C Executive committee personal details C. 4 Treasurer Please use capital letters throughout this section Given name: _____________________________________________________________________________________________ Family name: ____________________________________________________________________________________________ SU member No.: _________________________________________________________________________________________ (Tick) Male Female Transgender Date of birth: ____/____/____ Residential address only Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient Number ____________ Street name: _______________________________________________________________________ : Suburb: ___________________________________________ Postcode:____________________________________________ Land line: ____________________________________ Mobile: ____________________________________________________ Student ID number: ___________________________ E-mail: ____________________________________________________ Name of program: ________________________________________________________________________________________ Year level of study: __________________________________ Number of years at RMIT: ____________________________ Contact authorisation Yes, i give permission to be a contact person for this club/society/association etc. What of the above relevant information can be released to the public? E-mail Mobile Home phone Signature: ______________________________________
  • 10. Clubs Societies application pack 2012 CS affiliate bank account Operation agreement form Signatories to the said account (at least two) 1.0 President please use block letters Given name: _____________________________________________________________________________________________ Family name: ____________________________________________________________________________________________ Signature: _______________________________________________________________________________________________ 2.0 Vice-president please use block letters Given name: _____________________________________________________________________________________________ Family name: ____________________________________________________________________________________________ Signature: _______________________________________________________________________________________________ 3.0 Secretary please use block letters Given name: _____________________________________________________________________________________________ Family name: ____________________________________________________________________________________________ Signature: _______________________________________________________________________________________________ 4.0 Treasurer please use block letters Given name: _____________________________________________________________________________________________ Family name: ____________________________________________________________________________________________ Signature: _______________________________________________________________________________________________ Original and copies of form The original form will be retained by the clubs and societies department. A copy will be made for the particular cs affiliated body. A copy will be made by the commonwealth bank of australia. Clubs Societies department use only Received current office bearers lists. Date received: ____/____/____ STAMP Signed and stamped by clubs and societies officer