AEAV AEAV AEAV AEAV AEAV Join your Ambulance union Join Ambulance Employees Australia - Victoria Step 1 of 5 - Let 20% 1/5 Let's get started with the basics:Your first name*Your last name*Your email address* Your mobile number*Privacy* I agree to the privacy policy. 2/5 Tell us about your work & your workplaceYour job role?*Your job role?Qualified paramedicGraduate paramedicAdminFMONEPTESTACasual Paramedic < 25 hours/wkCasual NEPT < 25 hours/wkAmbulance community officerDepartment/branch*What is your occupation?*Who is your employer?*Which worksite / centre are you at?*Employment type*Employment type *Full timePart timeCasualIs there anything you'd like us to know about your work? Is there anything you'd like us to know about your work? Share it here. 3/5 Let's get to know you a little betterWhat is your preferred language? **What is your preferred language? *EnglishAboriginalAcholiAfricanAfrikaansAkanAlbanianAmharicArabicArmenianAssyrianAuslanBandjalangBassaBengaliBikolBisayaBislamaBosnianBulgarianBurmeseCantoneseCebuanoChineseCreoleCroatianCzechDanDanishDariDinkaDutchDyirbalDzongkhaFijianFilipinoFinnishFrenchGaelicGarrwaGermanGreekGudanjiGujaratiGuyamirrililiHakaHakkaHazaragiHebrewHindiHungarianIgboIlonggoIndonesianIranicItalianJapaneseKalaw Kawaw Ya/Kalaw Lagaw YaKannadaKarenKhmerKiribatiKissiKoreanKrioKriolKurdishLaoLatvianLithuanianMacedonianMalayMalayalamMalteseMandarinMaoriMarathiMauritian CreoleMayaliMeriam MirMongolianNepaliNiueNorwegianNuerOromoPapua New Guinea PapuanPashtoPersianPijinPitjantjatjaraPolishPortuguesePunjabiRomanianRussianSamoanSerbianSeychelles CreoleShonaSign LanguagesSindhiSinhaleseSlovakSloveneSomaliSpanishSwahiliSwedishTagalogTaiTamilTeluguTetumThaiTibetanTigrinyaTiwiToaripiTok PisinTonganTorres Strait CreoleTurkishUkrainianUrduVietnameseWajarriWarlpiriXhosaYorubaYugoslavianZuluLanguages you speak (please list)Do you identify as Aboriginal or Torres Strait Islander? **Do you identify as Aboriginal or Torres Strait Islander? *I don't identify as eitherAboriginalTorres Strait IslanderYour gender **Your gender *FemaleMaleOtherDate of birth (DD/MM/YYYY)* Date Format: DD slash MM slash YYYY Ever been a Union member before? **Ever been a Union member before? *Yes, this UnionYes, a different UnionNo, this will be my first! 4/5 How can we keep in touch with you?Address* Street address Suburb State/Territory Postcode 5/5 Last step - let's set up your payment detailsYour weekly direct debit total: $ 0.00 Your preferred payment method:*Please select a payment methodCredit cardDirect debitThese details will be used for all recurring payments.Account name*BSB*Account Number*Signature*I authorise the United Workers Union (APCA User ID Number 604133) to debit/charge funds from my nominated bank account or bank account provided by my employer as authorised above at the intervals specified below. This authorisation includes where changes to that account/institution occur, and is in force until I give further notice in writing. I acknowledge that I have been informed of my fee amount and that the Union’s fees may be revised from time to time. This authority shall stand in respect of the above specified account/card and in respect to any card issued to me in renewal or replacement thereof, until I notify the Union in writing of its cancellation.Membership application rules* I apply for membership of the United Workers Union and declare the information provided is true and correct. I agree that if admitted as a member, I will abide by the Rules of the Union. I authorise the United Workers Union to act on my behalf with my employer. I acknowledge that the membership fee may be adjusted from time to time. Membership agreement* I have read the membership agreement. meta*PhoneThis field is for validation purposes and should be left unchanged.
