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Queensland LOTE Library - Membership form

Complete the form below to submit your details online. To post or fax your details to the LOTE Library, download the Registration Form (new window) 49k or Pre-Service Teacher Membership Form (new window) 72k .

Queensland LOTE Library - Membership Form

* Denotes mandatory fields

Membership form

Name:*

Family name*

First name

Middle initials

My teaching position is:*

Permanent
Contract
End date:
Supply

Gender:*

Male
Female

Home postal address:*

Postcode:*

Home phone:*

Email: *

Privacy: Personal information provided by you will be used solely for the purpose of managing resources borrowed from the library and will not be disclosed to third parties without your consent. For further information, view our privacy statement.

School name		School type
Base school:*		State School State High School College TAFE Other
Base school postal address:*	Postcode:*	State School State High School College TAFE Other
School 2:		State School State High School College TAFE Other
School 3:		State School State High School College TAFE Other
School 4:		State School State High School College TAFE Other
School 5:		State School State High School College TAFE Other

Declaration

By submitting this form I agree to take due care and responsibility for resources borrowed from the Queensland LOTE Library. I will return the resources by the due date.

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