MEMBER APPLICATION - GROUP RELATIONS AUSTRALIA Title — Select — Mr Mrs Ms Mx Dr Prof Other Name * First Last Gender — Select — Male Female Other Rather not say Nationality Work Role & Official Title Email Address * Mobile Number * Postal Address * State / Country * Are you a member of any related organisations? (e.g. AK Rice Institute, Group Relations India etc.) How/where did you hear about Group Relations Australia? * Max 100 words Why do you wish to become a member of Group Relations Australia? * Max 100 words Short Professional Biography (will be shared with other members) * Max 300 words Please attach a recent digitial photo in portrait style (Max 3MB. Preferably .jpeg file) * Select Image Member Category — Select — Member ($200) Student ($100) Member Agreement By submitting this application, I express my commitment to the purpose and aims of the Association, and in the event of my admission as a Member, I agree to be bound by the rules of Group Relations Australia Inc. for the time being in force. GROUP RELATIONS AUSTRALIA INC PO Box 529, Yarra Glen Victoria 3775 Australia Explore Follow Us FollowFollow
