Queensland Nurses Union - Join online

Please ensure your nominated account can accept debits of this kind and there is enough funds to cover the payment. Your bank may charge you a dishonour fee if there is insufficient funds.

Membership fee details

Personal details

Recruited by

Employment details

Student details

Direct debit request

I request and authorise Queensland Nurses' Union of Employees (User ID 71052) to arrange for any amount Queensland Nurses' Union of Employees may debit or charge you to be debited through the Bulk Electronic Clearing System from an account held at the financial institution identified below subject to the terms and conditions of the Direct Debit Request Service Agreement (and any further instructions provided below).

Midwife details

You must tick the Part-time/casual declaration if you work 48 hours or less per fortnight before you can continue.

You must complete the Membership fee details section before you can continue

Since you have specified that you are a student, you must complete the Student details section before you can continue

Since you have specified that you are working, you must complete the mandatory fields in the Employment details section before you can continue

Since you have specified that you are a working Midwife, you must complete the mandatory fields in the Midwife details section before you can continue

Classification *
Employment status *
Average hours worked per fortnight * (full fees apply if you work more than 48 hours per fortnight)
Part-time/casual declaration *	I hereby declare that I work 48 hours or less per fortnight as a casual or part-time employee and agree to notify the Union should there be an increase in these hours. If you work at more than one workplace please add your hours together.
Student hours worked per fortnight* The full time university and TAFE student fee is only for students who do not have an RN or EN qualification
Payment method *
Payment period *
Payment period * You will be sent an account when your fees are next due
Date of next pay *
Fee code
Initial fee

Title
Gender
Given names *
Preferred name If different to given name
Surname *
Date of birth
Postal address * Enter unit, number, street type, street name and PO box number
Town *
State *
Postcode *
Residential address If different from postal address
Town
State
Postcode
Telephone - Work
Telephone - Home
Telephone - Mobile
Fax - Home
Fax - Work
Email - Home
Email - Work
Preferred email	Home Work Both
Online surveys	I do not wish to receive surveys
Have you previously been a member of the QNU or ANF?	QNU ANF
Previous QNU membership number Or full name
ANF Branch/State
Do you identify yourself as an Aboriginal or Torres Strait Islander?
First language Please select your first language
Receipt Email

QNC Registration No. RNs, Midwives and ENs
Job Title eg Clinical Nurse, DON, NUM, etc.
Payroll No.
Workplace 1 * Name and location of hospital, nursing home or domiciliary centre, etc.
Workplace 2 if you work at more than one workplace
Workplace 3 if you work at more than two workplaces
Area of practice for Workplace 1 * Please specify, eg midwifery, aged care, mental health, intensive care etc.
Are you doing further studies?	Yes

University, TAFE or Private Training Organisation
Other Uni, TAFE or PTO
Campus
Other campus
Course
Other course
Starting date
Completion date

Name and address of financial institution at which your account is held
Financial institution name *
Address *
Details of account to be debited
Account holder/s name *
BSB number * Please enter all 6 numbers
Account number *
Acknowledgement By completing this Direct Debit Request you acknowledge having read and understood the terms and conditions governing the debit arrangements between you and the Queensland Nurses' Union of Employees as set out in this Request and in your Direct Debit Request Service Agreement. The complete Direct Debit Request Service Agreement is available on the QNU website here or you can email member@qnu.org.au. It is also available on request from the QNU membership section, phone 07 3840 1440 or freecall 1800 177 273.

1. Are you practicing midwifery as an independent midwife? *	Yes No
2. Are you providing ante natal, intra partum (eg home birth) and post natal care in a non hospital setting? * The QNU professional indemnity policy currently excludes coverage of independent midwifery practice (see below) �Any claim, costs or expense arising out of midwifery activities whilst in private (independent) practice, for example, home birth midwives;�	Yes No
3. Are you also employed by an employer to practice as a midwife? * For example, are you also employed by Queensland Health or a private hospital? QNU professional indemnity insurance cover only applies for your paid employment.	Yes No
4. Are you working for an Agency as a midwife? *	Yes No
Does the agency provide professional indemnity insurance for ALL areas of midwifery practice?	n/a Yes No
What is the name of the agency you work for?
5. As an independent midwife do you work predominately in Qld? *	Yes No
Please list the geographical areas or post code areas covered by your practice.
6. Do you have an ABN number? *	Yes No
If YES, please quote your ABN number.

Membership

Join online - Direct debit