AIPI - Application for Membership

Application for Membership

Resuming an application (if you could not complete it in one sitting.)

The application process will ask for various items of information and we realise it maybe necessary to return to the application at a later time. To recommence the application click here
NB: You will need your user name and password.

Step 1 of 5.

The online application process will take approximately 15 minutes (depending on whether you have all information to hand). An application can be recommenced at any time and will require details of:

Personal particulars
Employment (both present and past)
Educational history
Licenses
References

Following completion of the application, you will receive a confirming email and a second email containing the Tax Invoice for your Application and Membership Fee. Upon receipt of the funds, the application will be submitted to the Membership Committee in the Chapter you have selected. If your application is successful, a Membership Pack will be forwarded to you and the Chapter Secretary will be in contact to advise of the next meeting details.

All fields marked with * are required to continue.

User name, email and password

To commence the application we need you to select your user name, provide an email address and enter a password of your choice. The user name is unique to you and is what will be required to enter the Member's Only section of the website. The email address does not have to be unique to you, as we recognise that some organisations 'share' emails, however a preference is using an email direct to you.
*User Name:
*Email:
	Email sent in HTML Plain Text
*Password:
*Confirm Password:

Title, first name and surname

*Title:		(Please type your favorite title here)
*First and other names:
*Surname:

Application type/class

*State/Chapter to which this membership application applies:

*Have you read the membership criteria?	If no, Click here to read.

*Class of membership to which this application relates:

If you do not meet the criteria for the class of membership for which you are applying, do you wish to be considered for an alternate one?	Yes No

* Applicant declaration (for your application to proceed, please affirm below)

I make this application to join the Australian Institute of Professional Investigators (AIPI) in my personal capacity and understand that membership of the AIPI is a privilege extended to me and is not a right to which I am automatically entitled.

I consent to the release and disclosure of all information about me to the AIPI Membership Committee and National Executive for the purpose of consideration of this application. I authorise the AIPI to make all such inquiries and obtain all such information as is required for the purpose of this application, including criminal history checks (if deemed necessary).

I declare that the information provided by me in this application is complete and true. I understand that any false, misleading or deliberately omitted information may result in this application being declined.

I understand that any statement, whether orally or in writing, in or in connection with, or in support of, an application for membership of the AIPI, which later found to be false or misleading, may result in discipline action and the suspension or cancellation of membership.

I agree to abide by the Code of Ethics of the Institute and should it be found that I have breached the Code, I understand that a discipline hearing may be held that may result in my membership being suspended or cancelled.

I will promote the aims and objectives of the AIPI and agree to be bound by the Constitution and Regulations (can be found here).

* I Agree

Privacy Statement:
The information you supplied on this form will be used only for the purpose for which you have provided it. It will not be disclosed without your consent unless statutory obligations require otherwise.

Step 2 of 5.

All fields marked with * are required to continue.

Birth details

*Date of Birth:	(dd/mm/yyyy)
*Place of Birth
*Town/Suburb:
*State:
*Country:

Contact details

Home Street Address
*Home Address:
*Town/Suburb:
*State:
*Country:
*Post Code:

Business Street Address
*Business Address:
*Town/Suburb:
*State:
*Country:
*Post Code:

*Business Phone:
Business Facsimile:
Mobile Phone :

Mailing Address:	Home Street Address Business Street Address Other
Mailing Address Details
Address:
Town/Suburb:
State:
Country:
Post Code:

Have you ever been known by or used any other name?

No Yes (provide brief details below).

Have you previously applied to join the AIPI?

No Yes (when?).

Year only (4 digits)

Have you ever had membership for a professional organisation rejected?

No Yes (provide brief details below).

Step 5 of 5.

All fields marked with * are required to continue.

1. AIPI member referee

First and other names:
Surname:

Address
Address:
Town/Suburb:
State:
Country:
Post Code:

Telephone
Phone:
Facsimile:
Mobile Phone :

Email:

How many years has the member referee known you?	Years

2. Referee able to provide sound knowledge of the investigative history and experience of the applicant

*First and other names:
*Surname:

Address
Address:
Town/Suburb:
State:
Country:
Post Code:

Telephone
*Phone:
Facsimile:
Mobile Phone :

*Email:

*How many years has the referee known you?	Years

3. Personal referee

*First and other names:
*Surname:

Address
Address:
Town/Suburb:
State:
Country:
Post Code:

Telephone
*Phone:
Facsimile:
Mobile Phone :

*Email:

*How many years has the member referee known you?	Years

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