Professional Practitioners

This online form is to obtain your details to include in the EPA Directory for Professional Practitioners of Other Industries.

An example of what information the directory will publish is below: 

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Jane Smith
Retail Assistant
Melbourne

"I joined the EPA because we all have the potential to offer healing and support to others through the way we live everyday."

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* 1. What level of EPA membership do you currently have?

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* 2. First Name

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* 3. Last Name

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* 4. Email address for EPA contact

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* 5. Profession (this could be anything from Dr, Builder, Homemaker, Student, etc)

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* 6. Qualifications

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* 7. Location: Suburb, City and Country

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* 8. Business Name (if applicable)

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* 9. Contact details to be displayed on the directory (Optional)

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* 10. Why did you join the EPA?

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* 11. What does being a 'Practitioner of Life' mean to you?

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* 12. What is one thing you value about the Code of Ethics & Conduct in your everyday life and work?

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* 13. Please upload a low resolution photo for your profile (file size limit is 1MB)

GIF, JPEG, JPG, PNG file types only.
Choose File

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* 14. I give my permission for information on this form to be published on the EPA public website

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