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ABOUT AFETTExpand ABOUT AFETT
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CALENDAR OF EVENTS
Membership
Application Form
 
Fields marked with an asterix (*) are required.
 Personal Information
Title First Name * Surname *

 
 
Date of Birth
   
 Contact Information
Business Address * Work Phone * Cell Phone * Work Email *
 
 
 		  
 		  
 
Mailing Address (If different from business address) Home Phone Personal Email
 Professional Information
Profession * No. of years in profession *

 
 
Additional Information
 Present Employment
Job Title * Company * No. of years in current position *

 
 
 
Key Responsibilities Brief Work History *

 
 Education (Completed or Being Pursued)
Post-Secondary Education Date
 
Other Qualifications Date
 
Additional Training Date
 
 Out of Curiosity
How did you hear about AFETT? *
 
Why do you wish to join? * What are your expectations of membership in AFETT? *

 
 
Are you a former member of AFETT? * If yes, please state when you were a member and reason for leaving.
 
 
Which committees would you be interested in joining? Please select 3 committees in order of preference.

Please note: It will be mandatory to join a committee upon membership approval.
1. * 
 		 2. * 
 		 3. * 
 
Are you involved in any other voluntary organisations?
If so, please list and state whether you have held / hold any positions of responsibility:
Do you have a secondary business, interest or hobby that could be of interest to other AFETT members?
Please describe:
 Professional References
 Reference 1
Name * Company * Address * Relationship to you: *

 		  
 
 
 
 Reference 2
Name * Company * Address * Relationship to you: *

 
 
 
 
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