Application Form

Personal Details

Title Please select Mr Miss Mrs Ms Dr Forename Surname Date of Birth Home Address Town/City County Postcode Home telephone Mobile Telephone Personal Email Address

Personal History

College/University at which trained Have you previously been a member of the Ulster Teachers' Union? Please select Student Full No Please give previous name if relevant College/University Training At Estimated Date of Completion

Confirmation

I confirm that the above details are correct and I wish to join the Ulster Teachers' Union subject to the Rules and Constitutions of the Organisation. I hereby undertake, if accepted as a member, to abide loyally by the Rules of the Organisation and to use my best endeavours to promote its objectives and interests.

I have read and understood the UTU Rules and Constitutions