Student Membership Application Page

*Surname

*First Name

Title

Do you identify as being of an indigenous background?

Private Contact Details

Address

Country

Telephone

*Mobile

*Email

University Details

*Which University are you currently enrolled?

Year of study?

*Is this your final year of study?

Yes

*Student ID

Please upload a copy of your student ID- ensure the file includes the card Expiry Date

Declaration

I declare the following

I hereby apply to become a Student Member of the Australasian College of Sport and Exercise Physicians and agree to abide by the ACSEP Constitution and Code of Ethics. I understand the fee is an annual subscription and will need to be renewed each year to maintain membership.

Please allow 7-10 working days for the College to process your Application for Student Membership

*Security Check