Student Membership Application Form

    Title:

    First Name:

    Last Name:

    Date of Birth:

    Country of Birth:

    Citizenship:

    Address:

    City/Suburb:

    State:

    Postcode:

    Postal Address (leave blank if same as above)

    Address:

    City/Suburb:

    State:

    Postcode:

    Home Phone:

    Work Phone:

    Mobile:

    Email:

    Education Details

    College/University:

    Course Title:

    Course Code:

    Course Start Date (approx):

    Course Duration:

    Mode of Study:

    Student ID:

    College/Uni Phone:

    Graduation Date (approx):

    If you hold current membership with another association, which one:

    Any Relevant Prior Natural Therapies Studies:

    Membership Agreement

    By submitting this application I confirm/agree to the 9 statements directly below this form.

    1. This study is related to an acceptable Natural Therapies Award from an Australian Recognised Training Organisation (RTO) or University
    2. The information supplied in this form is true and correct
    3. I give permission to the CMA to contact the College/University to confirm this information if required
    4. I have never been refused membership of another association/body
    5. I have never been disciplined by another association/body
    6. I have never been investigated by another association/body
    7. I agree that the CMA has the right to refuse or rescind this membership at anytime in accordance with their Constitution, Code of Ethics and By-Laws
    8. I understand that due to changes in minimum education standards, I may not be eligible for full membership upon my graduation of the above course
    9. If accepted I agree to uphold the rules and regulations of the association detailed within the Constitution, Code of Ethics and By-Laws