Student Membership Application Δ 1Your details2Study detals3Evodence and declaration Before you begin Student membership is available to people currently studying an eligible complementary medicine qualification. Please complete all required fields and provide evidence of your current enrolment. Before beginning, please have the following ready: details of your education provider and course; your expected graduation date; a recent photograph; and evidence showing your current student enrolment. Please note: Student membership does not provide practising-member status or health fund recognition. This field is hidden when viewing the formOrder Number - Application Fee Payment(Required)Enter your order number from your fee payment confirmation emailYour DetailsPlease provide your current personal and contact details.Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region Post Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Phone(Required)Email(Required) Date of Birth(Required) Next of Kin DetailsNext of Kin Name(Required) First Next of Kin Phone(Required)Next of Kin Email If availableHow did you hear about the CMA?(Required) Your Study DetailsPlease provide details of the course in which you are currently enrolled. These details must correspond with your uploaded evidence of enrolment.Education Provider(Required)Select an education providerTorrens University AustraliaSouthern Cross UniversityEndeavour College of Natural HealthOther - Please SpecifyOther education Provider(Required)Course Title(Required)eg. Bachelor Health Science - NaturopathyStudent ID Number(Required)Your Unique Student Identifier (USI), if available.Mode of Study(Required) Online On Campus Combined Online and Campus Expected Graduation Date(Required) Your expected course completion date.Practical Clinic Hours(Required)Total practical clinical hours included in your course.This field is hidden when viewing the formPractical Clinic HoursHow many Practical Clinic hours are included in your course? If you hold current membership with another association, which?Relevant Prior Natural Therapies Studies, if any. Supporting evidencePlease upload the documents requested below. Files must be clear, current and readable. Your enrolment evidence must show your name, education provider, course and current enrolment status.Photo ID(Required)Accepted file types: jpeg, jpg, png, pdf, Max. file size: 10 MB. Upload a clear copy of a current photo ID showing your name and photograph, such as a student identification card, driver licence or passport. You may obscure identification numbers that CMA does not need.Enrolment Evidence(Required)Accepted file types: jpeg, jpg, png, pdf, Max. file size: 10 MB. Upload a current document issued by your education provider showing your name, education provider, course title and current enrolment status. Examples include an enrolment confirmation, student portal statement or current academic record.This field is hidden when viewing the formAcademic Transcript(Required)Accepted file types: jpeg, jpg, png, pdf, Max. file size: 10 MB. Your academic transcript provides full details of your study. Declaration By submitting this application, I declare that: the information and documents I have provided are true, current and complete; I am currently enrolled in the course identified in this application; I will notify CMA if my enrolment is deferred, discontinued or completed; I understand that Student membership does not provide practising-member status or health fund recognition; and I agree to comply with CMA’s Constitution, Code of Conduct and applicable policies. Applicant Declaration(Required) I have read, understood and agree to the declaration above.