APPLICATION FOR ASSOCIATE MEMBERSHIP 2003
Please print in block capitalsAssociate Membership runs from 1st Jan - 31st Dec inclusive, and is renewed each year in January.
First Name ____________________ Surname ____________________________
Postal Address _____________________________________________________
Town_______________________________ State _________ Postcode _________
Telephone number H (___)___________ W (___)____________M ______________
Practice Name ______________________________________________________
Practice Address____________________________________________________
Suburb ____________________________________Postcode ________________
Practice Telephone Number (__)_______________ Fax: (__)__________________
Email ____________________________________________________________
Are you fully qualified in another modality that you will use
to apply your aromatherapy?
If yes, complete the section: Non Massage Aromatherapist.
Did you train at a non-IFA accredited college?
If yes, please complete section: Non-IFA Trained
Aromatherapist.
Please note:
All copies of your documents (Certificates and Diplomas) MUST be certified by an authorized person (as per Application instructions) stating that they are a copy of the original.
Declaration:
I have read and agree to abide by the IFA (NCMAHP) Code of Ethics and Code of Practice, to uphold the IFA Constitution and promote the professional practice of Aromatherapy. I agree to obtain 10 hours OPD annually, renew malpractice insurance and workplace first aid certification on expiry.
Signature ____________________________________ Date ________________
Non Massage Aromatherapists:
This category of membership is opened to Practitioners of Aromatherapy that do not use Massage to deliver the aromatherapy treatments. For successful application to this category, you are required to hold full qualifications in another modality of practice i.e. Nursing, Chiropractor, Naturopath.
Documentation Required;
- Aromatherapy qualifications
(minimum 100 hours content equivalent to current requirements of Aromatherapy
training as set by the IFA). Please attach a copy of your academic record
stating the topics and hours completed in training.
- Additional modality
qualifications
- Anatomy and physiology
qualifications (minimum of 100 hours)
- First Aid Certificate Senior
/ Level 2 qualifications (Must be current)
- Insurance Cover Professional
Indemnity, Public Liability for the practice of Aromatherapy & Blending
Essential Oils. (Current cover)
- Affiliation with another
professional body (relevant to additional modality)
- Peer references (declaration
from fellow practitioners/ employee giving character / professional reference)
minimum of three
- Affidavit of minimum of two
years practice in additional modality
Non-IFA trained Aromatherapists:
This category of membership is opened to Aromatherapists who have trained at colleges currently not recognised by the IFA, but that have similar content and training hours as per the current training requirements as set by the IFA)
Documentation Required;
- Massage qualifications
(minimum 100 hours in Swedish Massage)
- Anatomy and physiology
qualifications (minimum of 100 hours)
- First Aid Certificate Senior
/ Level 2 qualifications (Must be current)
- Insurance Cover Professional
Indemnity, Public Liability for the practice of Aromatherapy & Blending
Essential Oils. (Current cover)
Payments: Should be made payable to the IFA Aust in Australian Currency
| Australia | Join before July 1 | Join after July 1 |
| Full Membership | $165.00 | $ 82.50 |
| Application Fee | $ 25.00 | $ 25.00 (Wavered if current student member*) |
| GST | $ 19.00 | $ 10.75 |
| Total amount owing | $209.00 ($181.50*) | $118.25 ($90.75*) |
| . | . | . |
| Overseas | Join before July 1 | Join after July 1 |
| Full Membership | $190.00 | $ 95.00 |
| Application Fee | $ 25.00 | $ 25.00 (Wavered if current student member*) |
| GST | $ 21.50 | $ 12.00 |
| Total amount owing | $236.50 ($209.00*) | $132.00 (104.50*) |
(Office use only A……………….....................................................................................................)
I enclose my: (circle payment method) Cheque / Money Order / Credit card for $______
Please charge this fee to my : (circle one card) MasterCard / Visa / Bankcard
| Card number:
|
Expiry date:
/
|
Name on card: ___________________________________________________
Cardholders signature: _______________________________________________
Please return this application, documentation and payments to:
IFA Australian Branch Inc, PO Box 215, Burwood, NSW 1805 Australia
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