Expression of Interest Form

Name *
Address *
Each field must be filled out (except the address 2 box) in the address section in order for this form to work
Day and Month only
(Place of Employment if required)
The Association bears the name of St Marcellin Champagnat, whose life was committed to the care, education and spiritual formation of young people. As a member of the Association, I declare that: *
(please tick both boxes)
Please type name in full below. This will be accepted as your electronic signature

Marist Association

1 Dawson Street, Brunswick,

Victoria, 3056

Phone: 03 9389 3100