..::::| AIMS APACE MAILER |::::..

AIMS APACE MAILER
Please enter the details as listed. Click on the icon (next to date fields) for an auto-date selector. (Dates can be entered in free format as well.)
Name:	*
Email address:
Postal address
Membership number:	*
Professional Society:
Contact telephone number:	*
Date of commencement:	* [dd/mm/yyyy]
Date of completion:	* [dd/mm/yyyy]
Rural member:	Yes No
Please indicate whether you approve for your name to be published on the APACE Register and in any other forum or listing for publicity purposes.	Yes No
Total CEU claimed:	*


Please note: Applicants who submit any activities conducted outside Australia must supply full details of the activity and proof of attendance.

ACTIVITIES EMPLOYMENT ATTENDANCE AT MEETINGS PRESENTATIONS AT MEETINGS PUBLICATIONS/REVIEWS POST GRADUATE STUDIES JOURNAL QUESTIONS PROFESSIONAL SERVICE ADDITIONAL ACTIVITIES ADDITIONAL ACTIVITIES Please check all fields to ensure correct! Then click send button once to process submission! Please wait for confirmation of submission, it make take a short while, press send once only. If insufficient fields simply complete another form.