QSEC Membership Form - Social Enterprise

YOUTH/Student application
A Youth/Student member is a social entrepreneur, social enterprise, associate or sole trader with a founder(s) under the age of 21 years.

This level of membership is free and receives the same benefits as the equivalent tier of social enterprise or associate membership, except they do not receive voting rights.
Your Name*

First NameLast Name
E-mail*
Personal or business email
Mobile Number
Contact number of the primary contact
Date of Birth*

DayMonthYear
What suburb do you live in?*
What Queensland region do you live in?*
Are you currently enrolled in a primary, secondary or tertiary education program?*

YesNo

Business Name *
Job Title*
ABN
Registered ABN for your business
Please upload a high-res logo for your business:

This will be used for our Member Directory. If a logo is not supplied, we cannot include you in the Directory.
Cancelof
Website
URL
LinkedIn
URL
Facebook
URL
Instagram
URL

YOUTH/Student application