Student Membership (yearly)

$25.00 / year

Notes

Student memberships renew annually.
All new memberships are provisional until approved by the board. You will be informed if we have any questions about your eligibility.
All members agree to abide by the ASLM Member Charter

We look forward to welcoming you into our energetic, resourceful and creative interdisciplinary society working to bring about change in healthcare.

Your name*
Title First name Family name
Title of study*

eg: Bachelor of Nursing
Level of qualification*

E.g. Undergraduate, Postgraduate, PhD
Name of university or institution (must be Australian or New Zealand based)*
Expected year of completion*
Mobile number
ASLM may contact you on occasion via SMS. Please check the box below if you wish to opt-out of SMS communications.
- Opt out
How did you hear about ASLM Membership?
Did you hear about Lifestyle Medicine and ASLM from an existing member? If so, please include their name below.
Does your university or college have a Student Lifestyle Medicine Interest Group?
- Yes
- No
- I don't know
Would you be interested in connecting with other students to discuss the possibilities of Lifestyle Medicine for students?
- Yes
- No
Please use this space to tell us about your interest and experience in Lifestyle Medicine and what you are hoping to contribute or gain from ASLM membership (Optional)
Confirmation of eligibility
- I confirm that I am not already a qualified doctor or health professional and therefore not eligilble for ASLM Practitioner Membership.

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Category: Student membership

Student Membership (yearly)

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