LGPA - membership application (organisation)

Your details

This Application Form refers to organisational membership of the Loss and Grief Practitioners' Association.

Membership is for the financial year 1 July-30 June and includes the LGPA newsletter, access to the Members-only section of the website, and discounts for professional development.

Question Title

* 1. Contact details

Contact name

Organisation

Address

Address 2

Town/Suburb

State

Postcode

Preferred phone contact

Question Title

* 2. Organisational membership allows for up to 4 individual members.
Please list the names and email addresses for each person to be included as a member.

Name and email

Question Title

* 3. Please provide a brief description of your organisation’s involvement in loss and grief practice (paid and/or unpaid):

Question Title

* 4. What are your reasons for applying for membership?
(Tick all that apply)

Access to professional resources / publications

Peer, collegial and network support

Professional development

Community education

Advocacy

Keep up-to-date with what's happening in the field

Other (please provide details)

Question Title

* 5. Areas of interest in loss and grief?

Bereavement and trauma

Palliative care

Non-death related grief

Support in rural areas

Other (please specify)

LGPA - membership application (organisation)

Your details

Question Title

* 1. Contact details

Question Title

* 2. Organisational membership allows for up to 4 individual members.Please list the names and email addresses for each person to be included as a member.

Question Title

* 3. Please provide a brief description of your organisation’s involvement in loss and grief practice (paid and/or unpaid):

Question Title

* 4. What are your reasons for applying for membership?(Tick all that apply)

Question Title

* 5. Areas of interest in loss and grief?

* 2. Organisational membership allows for up to 4 individual members.
Please list the names and email addresses for each person to be included as a member.

* 4. What are your reasons for applying for membership?
(Tick all that apply)