Membership Application Form

Application #

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Username*

Name*

Title First Last

Address*

Street Address Street Address Line 2 (optional) Suburb State Postcode

Phone Number*

Email Address

Your email address and password will be used to log into the website to manage your membership.

Password*

Strength indicator

Choose your membership*

* Student members will be listed as such on the Guild’s members list

Student Type*

Parent/Guardian Name*

First Last

Parent/Guardian Phone Number*

Parent/Guardian Email Address

Please provide your Teacher’s contact details as a reference:

Teacher's Name*

First Last

Teacher's Phone Number

Teacher's Email Address*

University & Program*

Student Number

Members are advised to be aware of legal requirements for working with children. Please see the Blue Card website for more information.

Please upload a short CV of your accompanying experience, along with two referees (Name, Phone Number, Email Address)*

Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 64 MB.

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