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Membership Application Form
Membership year is from 1st July to 30th June. Membership is open at any time of the year, however, no discount is applied to the membership fee, and the expiry date will remain 30th June.
“Your application will need to be approved at a management committee meeting, which is held on the 3rd Wednesday of each month.”
*
Indicates required field
WHAT CLASS OF APPLICATION IS THIS ?
*
Renewal of ordinary membership ($80.00)
New ordinary membership application ($80.00)
Renewal of corporate membership ($80.00)
New corporate membership application ($80.00)
Renewal of student membership (Free)
New student membership application (Free)
Title
*
Name
*
First
Last
ORDINARY OR CORPORATE MEMBER DETAILS
Occupation
*
WORKPLACE
*
STUDENT MEMBER DETAILS
Student – Program of study
*
Place of Study
*
Upload a copy of your student card
*
Max file size: 20MB
Free student applications are only processed once a copy of your student card has been uploaded
Email
*
Phone Number
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Address
*
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Professional Interests
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Submit
Home
About Us
Advocacy
Our Committee
Governance
Newsletter
Sponsorship
Contact the Society
Membership
Membership Application Form
ASHM’s Affiliate Program
ASHA
Journal Access
Clinical Meetings
Registration Form
AGM
HIV & Wellness Workshop
Scholarships
Far North Queensland RN Virtual Conference Scholarship
Far North Queensland RN Conference Scholarship
SHSQ Virtual Conference Scholarship
SHSQ Conference Scholarships
Members Clinical Meeting Scholarship