Confirmation of Employment form

DIVISION OF LIBRARY SERVICES
Teacher Membership: Confirmation of Employment
CSU Library offers free membership to local school teachers.
This form confirms your employment in a New South Wales or Victorian school.
Please complete and either scan and email or bring to CSU Library, along with a library
membership application form to finalise your membership application.
Teacher
Surname______________________ First names________________
School
________________________________________________________
NSW
Vic
Confirmed by Principal or approved deputy:
Name_________________________________________________________
Signature_______________________________ Date__________________
Email to: [email protected] or bring to the Library
10/2015