Collaborative Practice Canberra

Become a member

Complete and submit the online expression of interest form below.  Once you have submitted the online form you will see a link to the application form which you must download, print, complete, sign and post to Collaborative Professionals (ACT) with your membership fee of $150.00 per year.

If you prefer, you can download a printable version of the expression of interest here.  To download the form right-click on the link with your mouse and choose “Save as Target” option in Internet explorer, or ‘Save Link As’ option in Firebox.

CLICK HERE TO DOWNLOAD PRINTABLE EXPRESSION OF INTEREST

Online Expression of Interest

Contact Details
Family Name: *
Given Name: *
Position:
Address:
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Telephone Number: *
Fax:
Profession
Please Select your Profession:   Lawyer Accountant Mediator Social Worker Psychologist Financial Advisor Other
Education
Undergraduate:
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Collaborative Law Training
Training Type:
Date Completed:
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Hours Completed:
Mediation Training
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Date Completed:
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Hours Completed:
Professional Registration
Please List your Professional Registrations:
Professional Activities
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