APTA - Application for Affiliate Membership

This form begins the process for registering to become a member of the Australian Play Therapists Association. It includes collection of essential personal information as well as assessing the eligibility criteria for membership.

All information is stored securely and will only be used for the purposes of membership with the APTA.

* Indicates required question

Email *

First Name *

Last Name *

Contact Phone Number *

Postal Address *

Postcode

State/Territory

How did you hear about us? *

If you heard about us another way, please specify

Professional qualifications

* Indicates required question

Which of the following professions are you qualified to work in? *

A registered mental health or allied health professional

Teaching or early childhood

Higher education student

Other:

If you are qualified for another profession, please specify

Declaration

* Indicates required question

If your application is approved, do you agree to the following? *

I am aware my information contained and provided in this application will be held by APTA, stored securely and only used for the purposes of my membership.

All information given here is accurate to the best of my knowledge.