Join AAIMH as an Individual Member

Please complete this AAIMH Membership Application form if you wish to join as an individual member (either a full member or student member) and pay your application fee. Students will need to upload proof of full time student status before submitting the form.

PLEASE NOTE: This form is only for new memberships, to RENEW your membership please follow the information in the renewal email.

Membership enquiries      membership@aaimh.org.au

*Branch Affiliation

Your Details

*First Name
*Last Name
*Email Address
*Address
*Suburb / City
*State
*Postcode
*Country
*Phone
*Set a Password
*ProfessionFull time students need to scroll down list 
Are you an Early Career applicant?(i.e. 2 years post initial graduation)
*Place of Work
InterestsTick if you would like to be included in AAIMH Members Network for professional sharing of information

Professional Referee

Your Referee ideally is an AAIMH member but may be a supervisor or professional colleague in your workplace

*Referee First Name
*Referee Last Name
*Referee Phone
*Referee Email

Supporting Information

Supporting InformationPlease provide information on your background, experience and current role to assist the committee make a decision on your application. Please also include what you see are the benefits for you in joining AAIMH.

Payment Information

Please accept our terms and conditions, and enter your payment information below.

Total

$110.00 AUD

*Declaration by Applicant