Australian Centre for Career Education - Associate Membership Registration

Personal Details

First Name(s)*

Surname*

Email Address*

Postal Address *

Postal Code *

City *

State *

Country *

Phone *

Fax

Regional Careers Group attended

Subscriptions

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Organisation Details

School or Organisation *

Position Title*

School Sector * Non-School Tertiary Government Independent Catholic Not a school

What DET Region are you in?*

Are you a rural small school or not for profit organisation? *

Applicants from Rural Small Schools and Not for Profit Organisations receive a discount on the membership fees.

School Size (number of students)

Are you member of CICA?

Membership Number

Evidence Required for Associate Membership

To apply for Associate Membership you will need to provide us with evidence of your completion of a CICA endorsed course by filling out the Associate Qualification section below.

Assoiciate Qualification

Title of Course

Institution

Year

Evidence

Please supply either a testimar or certificate OR Transcript of results statement/statement of attainment as evidence. If you do not currently have a copy you will be contacted by a CEAV staff member to suply it at a later date.

Files must be less than 5 MB.

Allowed file types: jpg png eps txt rtf odf pdf doc docx xml odt.

Password (between 8 to 20 characters long)*

Confirm Password*

Associate Membership Registration

Personal Details

Subscriptions

Organisation Details

Evidence Required for Associate Membership

Assoiciate Qualification

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