This document is an application pack for clubs and societies at RMIT University to apply for affiliation or re-affiliation for 2012. It contains forms and checklists for the application process. Clubs must have a minimum of 10 members including executive officers. The application process requires filling out forms with contact details of members and officers, descriptions of the club, and signing bank account authorization forms.

1. Clubs & Societies application pack 2012
General inquiries: +61 3 9925 2473
General fax: +61 3 9925 3705
PO Box 12387 Franklin Street, Melbourne Victoria 8006
www.su.rmit.edu.au
Please City Campus TAFE-Carlton Brunswick
return to: Bld 8, Lvl 3 Bld 57, Lvl 4 Bld 514, Lv2
9925 3706 9925 4769 9925 9478
Bourke St Bundoora PO Box 12387
Bld 108, Lvl 3 Bld 204, Lv1 Franklin St
9925 5647 9925 7226 Melbourne 8006

2. Clubs & Societies application pack 2012
Application for affiliation
or Re-affiliation
MUST be completed annually
Checklist
Have you:
got the signatures of your ten founding members
elected your Office Bearers (President, Vice-Pres, Treasurer and Secretary)
filled out all the fields required for your FOUR Office Bearers
elected your signatories (At least TWO) for the Club/Society bank account? (NB: These must be Office Bearers)
checked that the signatories are the same on the RUSU and CBA forms
ensured that TWO office bearers are current RUSU Members.
Great!
Now its time to book an appointment with the Clubs and Societies Officer
– they can be emailed at jacqueline.out@rmit.edu.au
For the meeting
Make sure that the signatories to the bank account are available for this meeting (they must attend).
Be sure to bring 100 points of ID (usually passport, medicare card, license and/or bank card).

3. Clubs & Societies application pack 2012
Affiliation application form
Please write clearly, using block letters throughout.
• Each club must have a minimum of 10 members.
• Student numbers will be checked so that signatories are current students.
• Club executive officers must be included in thi slist of 10 members.
I, the undersigned, declare my interest in being a founding member of the _________________________________________
______________________________ (insert name of club) as from the date ______/______/______
Name Email Phone Student No. Signature

4. Clubs & Societies application pack 2012
Office Bearers form
Part A
Explanatory notes
A 1 Information C & S regulatory requirement
The information requested for this form is required by C S General Regulations. If any fields are not completed,
the CS Officer will not be able to affiliate the club.
A 2 Time of completion and lodgement
This form will be completed and lodged with the C S Department immediately following either the election or
appointment of office bearers.
A. 3 Alterations to information
there is any change of office-bearers or in the contact details, then a new form must be submitted promptly to
If
the C S Department.
A. 4 Alterative titles for officers
Please state any alterative titles to the standard office-bearing positions.
A. 5 Bank account signatories
least TWO of the FOUR office-bearers will be authorised to operate on the designed bank account of the C
At
S affiliated body as established at the RMIT branch of Commonwealth Bank of Australia.
A. 6 Contact details
the boxes next to the contact details in Part C are ticked and signed then it is assumed that the C S
If
Department has permission to give only those relevant details to anyone enquiring about a C S body.
A.7 Club constitution
Unless otherwise requested by the C S Body, the club will be bound by the model constitution for clubs and
societies, available upon request from the C S Officer.
A. 8 Original and copies of form
(i) Original
The original form will be retained by the C S Department.
Affiliate Copy
(ii)
copy will be made, upon request, for the particular C S affiliated body.
A
Bank Copy
(iii)
The Commonwealth Bank of Australia may take a physical or electronic copy for their records.
A. 9 Used in conjunction with other forms
This form is to used in conjunction with the Commonwealth Bank of Australia form: ”Authority for Non Personal
Accounts” and the C S Department form: “C S Affiliate Bank Account Operation Agreement Form.” Both
forms are obtainable from a RUSU information desk or you can email the C S Officer jcqueline.out@rmit.edu.au
A. 10 Security and confidentially of information
The C S Department will ensure at all times, the security and confidentially of the information provided to it on
this form.
A. 11 Information handled under the principles of the privacy act
The C S Department handles such information and will only disclose the contents to RSU staff and office-
bearers in accordance with the 10 national privacy principles set out in the Commonwealth Government Privacy
Act. Such principles can be viewed at the website of the Office of the Federal Privacy Commission specially at
www.privacy.gov.au/publications/hpps.01.html

5. Clubs Societies application pack 2012
Part B
General details
State the name of the club/society/association etc. In full. No abbreviations.
B. 1 Official name
_________________________________________________________________________________________________
B.2 Write a paragraph describing what the group is and what it does
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Clubs Societies department use only
Signed CBA Authority for non personal account?
Date signed: ____/____/____
CBA account number: _________________________________________

6. Clubs Societies application pack 2012
Part C
Executive committee personal details
C. 1 President
Please use capital letters throughout this section
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
SU member No.: _________________________________________________________________________________________
(Tick) Male Female Transgender Date of birth: ____/____/____
Residential address only
Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient
Number ____________ Street name: _______________________________________________________________________
:
Suburb: ___________________________________________ Postcode:____________________________________________
Land line: ____________________________________ Mobile: ____________________________________________________
Student ID number: ___________________________ E-mail: ____________________________________________________
Name of program: ________________________________________________________________________________________
Year level of study: __________________________________
Number of years at RMIT: ____________________________
Contact authorisation
Yes, i give permission to be a contact person for this club/society/association etc.
What of the above relevant information can be released to the public?
E-mail Mobile Home phone
Signature: ______________________________________

7. Clubs Societies application pack 2012
Part C
Executive committee personal details
C. 2 Vice-president
Please use capital letters throughout this section
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
SU member No.: _________________________________________________________________________________________
(Tick) Male Female Transgender Date of birth: ____/____/____
Residential address only
Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient
Number ____________ Street name: _______________________________________________________________________
:
Suburb: ___________________________________________ Postcode:____________________________________________
Land line: ____________________________________ Mobile: ____________________________________________________
Student ID number: ___________________________ E-mail: ____________________________________________________
Name of program: ________________________________________________________________________________________
Year level of study: __________________________________
Number of years at RMIT: ____________________________
Contact authorisation
Yes, i give permission to be a contact person for this club/society/association etc.
What of the above relevant information can be released to the public?
E-mail Mobile Home phone
Signature: ______________________________________

8. Clubs Societies application pack 2012
Part C
Executive committee personal details
C. 3 Secretary
Please use capital letters throughout this section
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
SU member No.: _________________________________________________________________________________________
(Tick) Male Female Transgender Date of birth: ____/____/____
Residential address only
Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient
Number ____________ Street name: _______________________________________________________________________
:
Suburb: ___________________________________________ Postcode:____________________________________________
Land line: ____________________________________ Mobile: ____________________________________________________
Student ID number: ___________________________ E-mail: ____________________________________________________
Name of program: ________________________________________________________________________________________
Year level of study: __________________________________
Number of years at RMIT: ____________________________
Contact authorisation
Yes, i give permission to be a contact person for this club/society/association etc.
What of the above relevant information can be released to the public?
E-mail Mobile Home phone
Signature: ______________________________________

9. Clubs Societies application pack 2012
Part C
Executive committee personal details
C. 4 Treasurer
Please use capital letters throughout this section
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
SU member No.: _________________________________________________________________________________________
(Tick) Male Female Transgender Date of birth: ____/____/____
Residential address only
Those of(i) an academic dept/faculty etc. Or (ii) a PO Box are insufficient
Number ____________ Street name: _______________________________________________________________________
:
Suburb: ___________________________________________ Postcode:____________________________________________
Land line: ____________________________________ Mobile: ____________________________________________________
Student ID number: ___________________________ E-mail: ____________________________________________________
Name of program: ________________________________________________________________________________________
Year level of study: __________________________________
Number of years at RMIT: ____________________________
Contact authorisation
Yes, i give permission to be a contact person for this club/society/association etc.
What of the above relevant information can be released to the public?
E-mail Mobile Home phone
Signature: ______________________________________

10. Clubs Societies application pack 2012
CS affiliate bank account
Operation agreement form
Signatories to the said account (at least two)
1.0 President please use block letters
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
Signature: _______________________________________________________________________________________________
2.0 Vice-president please use block letters
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
Signature: _______________________________________________________________________________________________
3.0 Secretary please use block letters
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
Signature: _______________________________________________________________________________________________
4.0 Treasurer please use block letters
Given name: _____________________________________________________________________________________________
Family name: ____________________________________________________________________________________________
Signature: _______________________________________________________________________________________________
Original and copies of form
The original form will be retained by the clubs and societies department. A copy will be made for the particular cs
affiliated body. A copy will be made by the commonwealth bank of australia.
Clubs Societies department use only
Received current office bearers lists.
Date received: ____/____/____ STAMP
Signed and stamped by clubs and societies officer