Please enable JavaScript in your browser to complete this form.ACCOUNT - Step 1 of 5 FULL MEMBERSHIP Membership applications for membership of AusPATH are invited from individuals able to demonstrate a relevant professional qualification in any of the following disciplines: Allied Health Medicine Law Nursing Research and Academia Policy Applicants must demonstrate experience and background in any of the disciplines listed above that contributes to the health, rights or well-being of trans, gender diverse and non-binary people. Major advantages of membership include access to the AusPATH forums available on the website, journal club (coming soon), service provider listing and reduced fees for the biennial conference, seminars, workshops and other meetings. Annual Full Membership fee is AU$190.00. ASSOCIATE MEMBERSHIP The constitution of AusPATH includes the category of Associate Membership. This category opens membership to those who do not possess the qualifications listed for Full Membership. AusPATH welcomes applications from students, community members and others who share the goals, aims and values of AusPATH. PLEASE NOTE: If you satisfy the criteria for Full Membership, you will not be eligible for Associate Membership. Annual Associate Membership fee is AU$130.00. Associate Members share all of the privileges of membership, but without voting rights. FULL MEMBERSHIP – TRANS AND GENDER DIVERSE PROFESSIONALS Applications for membership of AusPATH are invited from trans professionals (binary and non-binary) who are eligible for full membership but face financial barriers in paying the full annual fee (usually $190). Applicants must satisfy the criteria for full membership and provide a short narrative about these financial barriers, which will be kept strictly confidential. Annual Full Membership – trans professionals fee is AU$95. NextTitle *TitleDrProfAssoc ProfMxMissMsMrsMrName *FirstLastEmail *EmailConfirm EmailPassword *PasswordConfirm PasswordIs your gender different to what was presumed for you at birth? I.e. are you trans?YesNoNot surePrefer not to sayPreferred pronounsJust use my namethey/themhe/himshe/herAnother pronoun (open field)Another pronoun:PreviousNextPlease note that your contact number, residential address and details will not be publicly available. 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FutunaWestern SaharaYemenZambiaZimbabweCountryMailing Address (if different from Residential Address)Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountryPreviousNextProfessional Contact Details Please note that once you have completed this section and your application for membership has been approved, and you have paid your membership fee, your professional contact details will be publicly available on our website. If you are not a service provider, or you do not want your profile to be published in the providers listing, please leave ALL professional contact details blank.Practice NamePractice Address Line 1Practice Address Line 2Practice CityPractice StateState (Please select)ACTNSWNTQLDSATASVICWAPractice PostcodePractice Phone Number (Include area code)Practice Fax NumberPractice Email AddressEmailConfirm EmailPractice Web AddressGoogle Scholar, Scopus, ORCID or other personal research publications URLProfessional Discipline *Professional Discipline - Please select from list*General PracticePsychiatryPaediatricsSurgeryEndocrinologySexual HealthGynaecologyAndrologyPsychologyNursingSocial WorkSpeech PathologyDieteticsPhysiotherapyOccupational TherapyArt Therapy, Music Therapy or Play TherapyResearchEducationLawPolicyOtherOther Professional DisciplineProfessional Qualifications *AHPRA NumberPreviousNextDescription *For FULL MEMBERSHIP - TRANS AND GENDER DIVERSE PROFESSIONALS only:AusPATH hosts a number of members only online forums. Associate Members have access to the All Members Forum only. Full Members have access to the All Members Forum and the subspecialty professional forums if requested. Some of the Forums members have access to are: - All Members Forum - Mental Health Forum - Medical Forum - Allied Health Forum T&C *By applying to become an AusPATH member, I agree to be bound by the terms of membership as described in the AusPATH Constitution; I agree to adhere to the guidelines for use of the member forums and acknowledge that I have read the privacy policy. I also agree to have the name and details of my practice listed on the website for public viewing.PreviousSIGN UP
