User account

To apply to become a member of AANZPA please complete and submit the following application form.

None of the information you enter will be visible to members of the public. Please consider which information you want to show to other AANZPA members and make sure the appropriate box is ticked.

You will be contacted by the Membership Secretary with Membership Fee payment information.

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.

Personal Information

Title:

Display Title publicly

Informal Name: *

Please enter your first name here as you want it to appear on the membership list and correspondence. It can be your nick name or the name you are commonly known by.

Display Informal Name publicly

First Name:

Display First Name publicly

Last Name:

Display Last Name publicly

Birth Year:

Birth year is for demographic purposes only and won't be displayed or made public. The content of this field is kept private and will not be shown publicly.

Contact Information

Address: *

Your address. Enter as much information as you want. Town / City, Country and postcode are below.

Display Address publicly

Town / City: *

Display Town / City publicly

Postcode: *

Display Postcode publicly

State:

State if in you are in Australia. Leave blank for NZ.

Display State publicly

Country: *

Display Country publicly

Work Phone:

Display Work Phone publicly

Mobile Phone:

Display Mobile Phone publicly

Home Phone:

Display Home Phone publicly

Direct Dial In:

Direct Dial-In phone number

Display Direct Dial In publicly

Website:

Your website

Display Website publicly

Membership Information

Occupation:

List your main occupation(s).

Display Occupation publicly

Qualifications:

Display Qualifications publicly

Professional Membership:

Other professional Memberships.

Display Professional Membership publicly

Membership Type: *

Please indicate which membership type you are applying for. Check the Join AANZPA page for more information about membership categories.

Sponsor's Details

Training Institute: *

The AANZPA accredited Training Institute you are associated with.

Sponsors Name: *

The name an Ordinary Member of AANZPA who is sponsoring your membership application. Please ask them to email their sponsor's letter to the Membership Secretary.

Applicant declaration

I give my permission for my details to be published in the AANZPA Inc. Members Directory

I accept the conditions of membership and I have read, understood and agree to comply with the AANZPA Inc’s Code of Ethics

You can view the Membership Conditions
and a read a copy of the AANZPA Code of Ethics (PDF)

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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.