Rusu 2012 clubs affil pack

Clubs & Societies application pack 2012

Pleasereturn to:

City CampusBld 8, Lvl 39925 3706

Bourke StBld 108, Lvl 39925 5647

TAFE-CarltonBld 57, Lvl 49925 4769

Bundoora Bld 204, Lv1 9925 7226

BrunswickBld 514, Lv29925 9478

PO Box 12387Franklin StMelbourne 8006

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


Application for affiliation or Re-affiliation

MUST be completed annually

ChecklistHave 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 [email protected]

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).


Affiliation application formPlease 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


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 C&S 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

If there is any change of office-bearers or in the contact details, then a new form must be submitted promptly to 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

At least TWO of the FOUR office-bearers will be authorised to operate on the designed bank account of the C & S affiliated body as established at the RMIT branch of Commonwealth Bank of Australia.

A. 6 Contact details

If the boxes next to the contact details in Part C are ticked and signed then it is assumed that the C & S 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.

(ii) Affiliate Copy

A copy will be made, upon request, for the particular C & S affiliated body.

(iii) Bank Copy

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 [email protected]

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


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: _________________________________________


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 authorisationYes, 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: ______________________________________


Part C


C. 2 Vice-president


Given name: _____________________________________________________________________________________________

Family name: ____________________________________________________________________________________________

SU member No.: _________________________________________________________________________________________




Suburb: ___________________________________________ Postcode:____________________________________________

Land line: ____________________________________ Mobile: ____________________________________________________


Name of program: ________________________________________________________________________________________






Signature: ______________________________________


Part C


C. 3 Secretary


Given name: _____________________________________________________________________________________________

Family name: ____________________________________________________________________________________________

SU member No.: _________________________________________________________________________________________




Suburb: ___________________________________________ Postcode:____________________________________________

Land line: ____________________________________ Mobile: ____________________________________________________


Name of program: ________________________________________________________________________________________






Signature: ______________________________________


Part CExecutive committee personal details

C. 4 Treasurer


Given name: _____________________________________________________________________________________________

Family name: ____________________________________________________________________________________________

SU member No.: _________________________________________________________________________________________




Suburb: ___________________________________________ Postcode:____________________________________________

Land line: ____________________________________ Mobile: ____________________________________________________


Name of program: ________________________________________________________________________________________






Signature: ______________________________________


C&S affiliate bank account Operation agreement formSignatories 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 c&s affiliated body. A copy will be made by the commonwealth bank of australia.

STAMP

Clubs & Societies department use only

Received current office bearers lists.

Date received: ____/____/____

Signed and stamped by clubs and societies officer

Sports

Rusu 2012 clubs affil pack