AIDNSoc Associate Member Application
Associate Members are listed on www.aidnsoc.org
What is your first name? *
Your answer
What is your surname? *
Your answer
Your best email address (this is for communicating with the Society for Australian Independent Dietitian-Nutritionists (AIDNSOC) and will not be listed on the registry) *
Your answer
What is your work area? *
Required
If you accept clients, please provide your contact details
Your answer
If you are an APD, what is your DAA membership number? (this is to verify your credentials but will not be listed on the registry)
Your answer
Please provide the name of the course, name of the university and your year of graduation from dietetics-qualifying course (again, this is for verification purposes and will not be listed on the registry). *
Your answer
Please provide the web link to your LinkedIn profile (by providing this link you are also agreeing to keep your profile up to date). *
Your answer
As well as having appropriate qualifications, Associate Members of AIDNSoc are committed to the values of independence and transparency. This means a shared commitment to supporting 1) the independence of dietitians to choose who they wish to work with, and under what terms, 2) that their interests should be represented by an impartial body, and 3) that information about current and past financial relationships should be accessible so that any potential or real conflicts of interest are visible, and customers, clients and/or patients can make an informed decision about how impartial any advice they are given is likely to be. Do you share these values? *
Do you agree to notify The Society for Australian Independent Dietitian-Nutritionists if the above circumstances change? *
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