Membership Form - Full Member (AFOEM Trainee)

Instructions:

• Fully complete each step (Step 1 to 4) before submitting the form
• The current AFOEM Trainee discounted price for the year (1st April 2019 to 31st March 2020) is $288
• Those applying now will be financial until the 31st March 2021
• Please include the names of your nominator or seconder who must be financial members of ANZSOM. If you do not have a nominator or seconder, you can leave 'Step 4 - Nomination' blank
• Remember to attach your Curriculum Vitae and proof of admission to the Occupational and Environmental Medicine Training Program or your Membership Identification Number (MIN)
• Submit your form. Membership applications are forwarded to the relevant state branch for consideration / approval (up to two weeks to process).
• Once approved, the Secretariat will send you a link to pay your membership online. You will have the option of paying via EFT or credit card.
• Once payment has been provided, the Secretariat will send you a letter of approval and member log-in details.