Renewal – RETA

RETA Membership Renewal Form

By filling this form, you agree:

1. That we can save your Name, Email, password to the system. Please read more here for Terms and Conditions and Privacy Policy.
2. That we can feature your profile on RETA and other DAS webpages and on DAS social platforms (i.e. Facebook. Instagram. email blast) with the purpose of marketing RETA membership and my teaching services.

Please note that the renewal process will take between 2 to 8 weeks.

PART 1 PERSONAL PARTICULARS

Name

Membership Number

Postal / Home Address

E-mail

Phone

PART II EMPLOYMENT

Present Occupation

Employer/ Organization

Name & Address of Business

Length of employment

If you are Flexi DAS staff, AED or public member, please upload your resume. (File accept pdf and max file size 5MB)

Former Occupation

Employer/ Organization

Name & Address of Business

Length of employment

Area of Expertise (indicate the field of SpLD e.g. Dyslexia, Autism, etc)

Number of Years Teaching/Tutoring in Dyslexia and/or SpLDs*

PART III Statement of Continuing Professional Development

Name of formal/informal teaching (e.g. course name)

Date attained & number of hours

Documented evidence (e.g. certificates to be ‘Certified True Copy’)

(File accept pdf and max file size 5MB)

How has this teaching transformed your skills and practice?

IMPORTANT NOTES*

The following checklist provides a guide to the completion of the application. Please check off () the following items as completed. The information that I have provided in this form is complete, genuine and accurate

I understand that provision of false particulars or suppression of material facts will disqualify me from joining the Register

Payment mode: Paypal. Bank Transfer (details will be emailed)

My certificates have been certified true copy and/or I have attached verification of my qualifications from awarding institutions

I allow my profile to be featured on RETA other DAS webpages and on DAS social platforms (i.e. Facebook. Instagram. email blast) with the purpose of marketing RETA membership and my teaching services

I have read and approved the Terms and Conditions and Privacy Policy.