Member Application Form

Email*
MEMBERSHIP CLASSIFICATION
Members are usually classified as FULL or ASSOCIATE.

Clause 10.2 of the MSCA Constitution states the following rights and restrictions of each membership classification:

(a) FULL members have all rights of a member under this constitution and the Corporations Act, including a right to vote as set out in this constitution;

(b) ASSOCIATE members have a right to receive notice of any general meeting of the company and such other benefits to be conferred on this class of membership as determined by the directors from time to time but will have no right to vote as set out in this constitution;

(c) other classes of membership determined by the directors will have the rights and restrictions of membership as determined by the directors from time to time. More Info
What type of membership are you applying for? **
- Full: School
- Full: Child Care Centre(s)
- Associate: Individual
- Associate: Organisation

Member Details – SCHOOL
School memberships are based on the number of students enrolled. The following annual fees apply:
Small Schools (<50 students) = $875
Medium Schools (50 – 150 students) = $1225
Large Schools (>150 students) = $1565
School Name*
School Address*
School Phone Number*
School Website*

Student and Staff Numbers
How many students does your school have?*
- <50
- 50-150
- >150
Please select all of the cycles offered by your school:*
- Cycle 0 (0-3)
- Cycle 1 (3-6)
- Cycle 2 (6-9)
- Cycle 3 (9-12)
- Cycle 4 (12-15)
- Cycle 5 (15-18)
Select the age categories if specific cycles do not apply.
Please list the number of students enrolled per cycle (per head, not FTE):*
eg: Cycle 1 = 45; Cycle 2 = 63
Number of staff employed in your school (per head, not FTE)*

Child Care Centre(s)
Child care centre memberships are held at the PROVIDER level. Please note that the MSCA membership extends to all of the centres operated by the provider.
How many centres do you operate?*
- 1
- More than 1
Member Details – CENTRE (Individual)
A $375 annual membership fee will apply.
Centre Name:*
Provider Approval Number (eg. PR-....)*
Centre Address:*
Centre Phone Number:*
Centre Website:*
Member Details – PROVIDER
Annual fees are based on the number of centres operated by the provider and calculated as: Number of centres x $375 = Total annual fee. eg. If a provider operates three centres across Australia their annual fee is $1125. 10 centres = $3750 and so on. *** If you are a provider operating more than 10 centres, please contact admin@msca.edu.au***
Provider Name:*
Provider Approval Number (eg. PR-....)*
How many centres does the provider operate?*

Multiple Centre Details
Please list each centres' details below and include the following information:

1. Centre Name, Address, Phone Number, Email
2. Contact Person: Name and Email
3. Number of children enrolled in this centre (per head, not FTE)
4. Number of staff employed at this centre (per head, not FTE)
Centre 1*
Centre 2*
Centre 3
Centre 4
Centre 5
Do you need to fill in details for more centres?*
Yes
No
Multiple Centre Details (Continued)
Please list each centres' details below and include the following information:

1. Centre Name, Address, Phone Number, Email
2. Contact Person: Name and Email
3. Number of children enrolled in this centre (per head, not FTE)
4. Number of staff employed at this centre (per head, not FTE)
Centre 6*
Centre 7
Centre 8
Centre 9
Centre 10
Do you need to fill in details for more centres?*
Yes
No
Please email admin@msca.edu.au with the additional centre details.

Member Details – Associate Individual
A $65 annual membership fee will apply. Please note that this option is for individuals who are not currently associated with a school or centre in a leadership position. Principals and directors are encouraged to join as their organisation because membership benefits (such as event discounts) extend to the whole school or centre staff.
Name:*
Email Address:*

Phone Number:*
Are you affiliated with a school, child care centre, training centre, or other organisation?*
Yes
No
Affiliations are expected. However, if you hold a leadership position at a school or centre (eg. principal, centre provider or director), we encourage you to join as your organisation given the additional benefits.

Member Details – Individual (continued)
Affiliated Organisation Name:*
Your position:*
Other relevant details:

Member Details – Associate Organisation
A $675 annual membership fee will apply.
Organisation Name:*
Organisation Address:*
Organisation Phone Number:*
Organisation Website:*

Representative Details
This is the person appointed as the representative of the proposed member (your school or centre). They will represent the member at general meetings or sign circular resolutions under Clause 31 of the MSCA Constitution.

Where practicable, the representative should be the Principal, Head of School, Managing Director, Chief Executive, or such other leader of the member's management.
Representative Name*
Representative Position*
eg. Principal, Managing Director
Representative Email Address*

Representative Phone Number*

Second Contact Details
Please include a second contact. eg. Assistant Principal, Business Manager, Operations Manager. (If the second contact is not your Business Manager, please include their details below).
Name*
Position*
Email Address*

Phone Number*
Business Manager Name
Business Manager Email Address

DECLARATION
Please retype the name of the proposed member (school / centre / individual / organisation):*
We, the proposed member named above, declare that we support the purposes of Montessori Schools and Centres Australia (MSCA). We agree to comply with MSCA's Constitution.*
Agree
Name of person making this declaration on behalf of the proposed member:*
MSCA WEBSITE:
We proudly list our members on MSCA's website with links to their own webpages. We recognise that occasionally members may not want their membership publicly listed.
Tick this box only if you DO NOT want to be included on our PUBLIC list of members.
Please don't include my membership on the publicly available list.