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Membership Form - Full Member (Nurse)

Thank you for your interest in becoming a member of ANZSOM! For information about membership benefits, click here.

To apply, simply follow the instructions and complete the form below.

Instructions:

Fully complete each step (Step 1 to 3) before submitting the form
The current discounted price for nurses for the year (1st April 2022 to 31st March 2023) is $360
Remember to attach your Curriculum Vitae
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.

Complete your details (steps 1 to 3):

Step 1 - Contact Details
Step 2 - Areas of practice & expertise
Step 3 - Public Directory

Title

Firstname

Surname

NOTE: If error message appears "Email address already exists", please contact the Secretariat (secretariat@anzsom.org.au)

Organisation

Occupation

If other, please specify below

Other Occupation

Preferred Contact Number

Fax

Preferred Mailing Address

Suburb

State

Postcode

Country

If Other Country

AHPRA registration number

Curriculum Vitae

Languages spoken (other than English)

Pandemic expertise

Workplace pandemic planning / workplace policy

Personal protective equipment

Facility management

Ergonomics / working from home advice

Mental health impacts

Sickness absence and return to work

Coronavirus (COVID-19) campaign resources

Training

Areas of Practice

Fitness for work assessment

Pre placement and exit health assessments

Prescribed fitness for duty health assessments (rail, commercial vehicle drivers, marine pilots, firefighters etc)

Independent medical examination/ medico-legal

Task analysis / dictionary of job requirements

Early intervention programs

Injury management/ workplace rehabilitation

Employee Assistance Program

Workers compensation, claims management and financial risks

Travel health / Q fever immunisation

Musculoskeletal health / ergonomics

Environmental health / safety management systems / risk assessments

Biological monitoring / chemical exposure

Alcohol and other drugs / medical review officer

Health promotion / wellness programs

Health surveillance

Vaccinations

First aid

Industry Expertise

Aviation

Transport other

Underwater diving

Oil, gas and mining

Agriculture

Manufacturing

Construction

Emergency services

Healthcare

Education

Retail and hospitality

Agriculture, forestry and fishery

Other (please specify below)

Other industry expertise

I agree to be listed in the 'Find an Expert' directory

Yes

This allows members of the public to search for you and your business using the 'Find an expert' function. If Yes - please complete all details below.

I agree to be listed in the 'Find a member' directory

Yes

This is a member-only page and allows current ANZSOM members to search for other members. Your email, phone and occupation will be listed.