Individual Membership Registration

Access to the membership section will only be activated on approval of your membership and receipt of payment

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Section 1 - Member Information

Surname or Family Name: *

Given or First Names:

Gender:

Date of Birth:

Year:

Month:

Day:

Home Telephone:

(area code) number

Work Telephone:

(area code) number

Mobile Number:

Ethnicity:

Postal Address:

Postal Address (2):

Suburb (RD):

Town/City:

Postcode:

Section 2 - Tell us about yourself

Name of Service/Agency affiliated with:

Role:

Service Type:

No of years in Home-based Childcare:

No of years in current service/agency?:

Section 3 - Qualifications

Specific Courses Obtained:

Completed Level 3 ECE Certificate (please specify):

Home based modules/Certificate held proper to July 2011 (please specify number of modules):

Minimum of 5 Credits Level 4 ECE (please specify name of training provider):

15 Credits Level 4 ECE (please specify name of training provider):

ECE Certificate Level 5 (please specify name of certificate):

Other qualification (please specify):

Section 3- Membership and payment details

Which region would you like to attend local meetings and events?:

How did you hear about NZHECEA:

How did you hear other:

Are you a member of any other national early childhood organisation? If so which one (please specify):

Tick which membership benefits you would like to access:

Group Purchasing Vehicles/Fuel/Stationary/other

Group Scheme Business Interruption Cover

Group Scheme Health Insurance

Group Scheme home/contents/car insurance

Group Scheme Income Protection

Group Scheme Public Liability

Group Scheme Statutory Liability

NZ Open Polytechnic NZHECEA Training Discount

Newsletters

You will be automatically susbscribed to our newsletters

Terms and Conditions of UseClick here to read the privacy policy.

Accept Terms & Conditions of Use *

Word verification: * Type the characters you see in this picture.

(verify using audio)

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.

Individual Membership Registration

Navigation

Members Only