Apply for Membership – Australian and New Zealand Society of Occupational Medicine

New to ANZSOM? Apply to New Zealand's Occupational Health Professionals community.

Stay connected, grow your career, and access exclusive member-only benefits like our national directory, resources, and networking opportunities—all in one place.

1. Apply below

Complete the form below to apply for membership.

2. Application Review

The ANZSOM board will review your application.

3. Sign Up

Once approved you can Join instantly on our website.

Nomination for Membership

1. Your Personal Information

What membership level are you applying for

Ordinary Membership

Associate Membership

Retired Membership

Your Name(Required)

First Last

Your Qualifications(Required)

Organisation

Position

Your Email Address(Required)

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Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone

2. Nominator details

Please list two existing members of the Australian and New Zealand Society of Occupational Medicine (NZ) Inc are satisfied that the colleague named above is properly qualified, according to the Rules, to become a member of the Society and hereby nominate him/her to be elected as a member.

First Nominators Name(Required)

First Nominators Email Address(Required)

Second Nominators Name(Required)

Second Nominators Email Address(Required)

I certify that the details above are correct.(Required)

I possess qualifications entitling me to be registered as a medical practitioner in any State of Australia or in New Zealand or in a Territory of either Country, and I hereby apply to be elected as a member of the Australian and New Zealand Society of Occupational Medicine (NZ) Inc and if elected agree to abide by the Rules of the Society.

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Already an ANZSOM member?

If you are an existing ANZSOM member before May 2025. You can renew your membership online.

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