Forms

Newsletter Subscription

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Application for Associate Membership

Private contact details
Practice contact details
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No
Aboriginal
Torres Strait Islander
Aboriginal / Torres Strait Islander
Maori

Private Contact Details

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Practice Contact Details

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Please upload a copy of your MBBS (or equivalent)
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Please upload a copy of your CV
I declare the following

I hereby apply to become an Associate (or Overseas Associate) Member of the Australasian College of Sport and Exercise Physicians and agree to abide by the ACSEP Constitution and Code of Ethics. I agree to pay all annual fees.

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Retired Fellow

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No
Aboriginal
Torres Strait Islander
Aboriginal / Torres Strait Islander
Maori

Private Contact Details

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Current Membership Details

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Yes
No
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RPL for Specialty Experience

CPD Homes Application Form

Please Review the ACSEP Fee Schedule before submitting this form!


https://www.acsep.org.au/page/about/fees 

Preferred Contact Details

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I confirm that I hold current registration to practice as a medical practitioner with AHPRA
I confirm that I hold current registration as a practitioner with MCNZ
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Your application will be reviewed by the ACSEP CPD Committee and you will receive an
outcome via email.

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Yes/Accept
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GEOFFREY THOMPSON RURAL / REGIONAL SCHOLARSHIP APPLICATION...

Geoffrey Thompson Rural / Regional Scholarship Application

Yes
No

Contact details

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(e.g. Year 1)

Medical Students

Medical Practitioners

Rural Background Information

Yes
No
Yes
No
Yes
No

Interest in Scholarship & SEM

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