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Name of FSANZ Member proposing your application - If applying for Prof Group membership, the person must also be a member of that Prof Group
Name of FSANZ Member seconding your application - If applying for Prof Group membership, the person must also be a member of that Prof Group
ANZICA - Your CV
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ANZICA - Academic Qualification 1 - Please upload certified copy of degree (certification to be completed by those designated to sign Stat. Decs)
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ANZICA - Academic Qualification 2 - Please upload certified copy of degree (certification to be completed by those designated to sign Stat. Decs)
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ANZICA - Academic Qualification 3 - Please upload certified copy of degree (certification to be completed by those designated to sign Stat. Decs)
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ANZICA - Membership of any Professional Association 1 - eg AHPRA, APS, AASW - upload certified copy of membership certificate
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ANZICA - Membership of any Professional Association 2 - eg AHPRA, APS, AASW - upload certified copy of membership certificate
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ANZICA - Are you employed by a Fertility Clinic? If so, please provide clinic, start date and number of hours/week
ANZICA - Are you employed in private practice? If so, please provide practice and approx. number of fertility counselling hours/week
ANZICA - Please upload a copy of your resume outlining work history
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ANZICA - Other relevant employment information - academic research in ART, presentations, training etc
ANZICA - Do you receive regular professional supervision?
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ANZICA - Are they an ANZICA member?
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