AABCAP Online Registration Form

  • Welcome to AABCAP's Online Registration form. By completing this form, you are able to register or renew membership with AABCAP for the year. Please note that all memberships require full payment to be made, and, where applicable, the necessary accompanying paperwork to be submitted before your membership is activated. For any questions, please contact info@buddhismandpsychotherapy.org.

  • AABCAP Membership Fees for 2013/2014
  • Full Member : $330 AUD before 30 June 2013; $364 AUD from 1 July 2013
  • Associate Member : $185 AUD before 30 June 2013; $200 AUD from 1 July 2013
  • Affiliate Member : $150 AUD before 30 June 2013; $160 AUD from 1 July 2013
  • Student Member (Full-Time Students Only) : $70 AUD before 30 June; $80 from 1 July 2013
     
  • Membership Application :
  • New Application Renewal Application
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  • Member Type :
  • User Type :
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  • Username *:
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  • Password *:
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  • Re-Type Password *:
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  • Title :
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  • First Name *:
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  • Last Name *:
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  • Dharma Name :
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  • Email *:
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  • Phone * :
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  • Postal Address * :
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  • Suburb * :
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  • State * :
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  • Postcode * :
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  • Country * :
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  • Profession :
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  • Organisation :
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  • How did you hear about AABCAP? :
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  • PROFESSIONAL DETAILS

  • Qualifications: (please state your formal qualifications)
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  • Course of Study * :
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  • University / College * :
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  • Do you practice meditation?( Y / N ) :
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  • Are you connected with any Buddhist groups or organisations?(Y / N) :
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  • PAYMENT DETAILS :
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  • Total Due :
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  • Payment Method * :
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  • Membership Registration Until :
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  • Required Attachments
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    SUPERVISION DETAILS : Please attach proof of 10 hours supervision over the calendar year (peer supervision is fine for those who have been in professional practice for 5 years since graduation).
     
    • Supervisor/Group
      Number Of Hours
     
     
     
    PROFESSIONAL DEVELOPMENT : Please attach proof of 15 hours of professional development relevant to the practice of Buddhist psychotherapy over the calendar year.
     
    • Activity / Event
      Presenter
      Date
      Number Of Hours
     
     
     
  • ACADEMIC QUALIFICATION: Please attach proof of your academic qualification relevant to the practice of Buddhist psychotherapy over the calendar year.
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  • CURRENT PROFESSIONAL INDEMNITY INSURANCE : Please attach proof of current professional indemnity insurance.
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Member Type

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