Student Membership Application

If you are training to be a hypnotherapist, membership of the ASCH is FREE. All you have to do is complete the Application for Student Membership of the ASCH form below and submit it, together with proof of enrolment in a relevant training institution. Or you can download the PDF, complete it, scan it, and email it to us.

Please make sure you read the ASCH’s Code of Ethics before applying for membership.

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ASCH STUDENT MEMBERSHIP APPLICATION
Titletitle
Given Namefirst name
Family Namelast name
Address Line1Address 1
Address Line2address 2
SuburbSuburb
Postcodepostcode
Phone Workphone work
MobileMobile phone
FAXfax
Home PhoneHome phone
Name of training institutionName of training institution
Membership Agreement
I, please type your full name hereyour full name
hereby apply for membership of the Australian Society of Clinical Hypnotherapists (ASCH). I (1) have read and agree to abide by the ASCH's Code of Ethics (2) agree to abide by all applicable State, Territory, and Federal laws (3) agree to hold the ASCH indemnified for all judgments and costs awarded against it or incurred by it as the case may be in any action against it arising directly or indirectly from my conduct as a hypnotherapist (4) understand and agree that the ASCH Board of Directors may from time to time during the tenure of my membership review and amend its policies and procedures, and that all relevant amendments will apply to me from the date specified by the ASCH Board.
I declare that the information provided in this form is true and accurate in every respect.
DateToday's date
Fileupload
Upload
PLEASE UPLOAD PROOF OF ENROLMENT IN PDF FORMAT.
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