Become an Affiliate Member

By becoming an Affiliate Member, which is the free entry level Membership to the Institute, you will gain access to the latest information on Management and Leadership and Networking opportunities through invitations to AIM events. You will also start to receive Leading e-news for AIM Members and Leading e-news for Performance Improvement via our fortnightly newsletter to Personal Members.

Becoming an Affiliate Member is easy. Just complete all sections of the form below and press the "Submit" button. You may wish to review the AIM Code of Conduct before you apply.

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YOUR DETAILS	[ Go to bottom ]
Email Address:	*
Title:	*
First Name:	*
Last Name:	*
Password:	*
Confirm Password:	*
Gender:	FemaleMale *
Date of Birth: (dd/mm/yyyy)	*
Home Phone	*
Work Phone:
Mobile Phone:
Preferred Mailing Address:	BusinessHome
Home Address:	*
Home Suburb:	*
Home State:	*
Home Postcode:	*
Home Country:	*

CURRENT EMPLOYMENT DETAILS
Employment Status:	EmployedRetired/Not working
Position Title:	*
Organisation Name:	*
Years in Position:
Business Address:
Business Suburb:
Business State:
Business Postcode:
Business Country:

Website:
Nature of Organisation's Business
CURRENT EMPLOYEES REPORTING TO YOU
Number of Employees Reporting to You:

PREVIOUS EMPLOYMENT DETAILS #1
Position Title:
Organisation Name:
Years in position:
Business Address:
Business Suburb:
Business State:
Business Postcode:
Business Country:
Website:
Employees Reporting to You
Total No. of Employees:
Total No. of Managers:
Total No. of Supervisors:

PREVIOUS EMPLOYMENT DETAILS #2
Position Title:
Organisation Name:
Years in position:
Business Address:
Business Suburb:
Business State:
Business Postcode:
Business Country:
Website:
Employees Reporting to You
Total No. of Employees:
Total No. of Managers:
Total No. of Supervisors:

QUALIFICATIONS

Qualification #1:
Qualification Gained:
Studied At:
Date Acquired:

Qualification #2:
Qualification Gained:
Studied At:
Date Acquired:

Qualification #3:
Qualification Gained:
Studied At:
Date Acquired:

SURVEY

How did you hear about AIM?

Do you agree to the Terms & Conditions?

Yes, I agree.*

Terms and Conditions

I hearby apply for Affiliate Membership of the Australian Institute of Management - Western Australia.
I agree to be bound by the current provisions of the Memorandum and Articles of Association, and as amended from time to time.
I also declare that all information supplied is accurate.

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