Membership Application Form

Name*

Email*

Landline Number

Mobile Number

Website

Profession*

Business Name

Business Address


Other

I have undertaken a formal training in collaborative practice.
(Provide details regarding name of organisation, trainer/s, date and duration)

Other relevant training and relevant experience for the Executive to consider.
(Provide details regarding name of organisation, trainer/s, date and duration)

I belong to a relevant professional Association/Body being:

I regularly attend a practice group at:

Membership Payment process

Thank you for applying to be part of the VACP community.
Your application will now be considered by our Executive and we will let you know if you are successful. You will then receive an invoice from Julie Gray (VACP Treasurer) julie.gray@fmpl.com.au for membership fees of $200. This will need to be settled within 2 weeks of receipt, and upon payment (not before) your details will be registered on our website. Should you not receive an Invoice, please do contact Julie.