Close
Login
Contact Us
Find a practitioner
opener
About
Who We Are
Our History
Our Leadership
Our Members
Advocacy & Representation
Code of Conduct and Policies
Make a Complaint
Modalities
Join ATMS
Join ATMS
Student Membership
Student To Accredited Upgrade
Free Transfer
Associate Membership
Accredited Membership
Membership
Member Benefits
Become a Fellow of ATMS
Business & Practice Resources
Community & Networking
CPE
EBSCO Host
eMIMS Plus
IMGateway
Insurance (GSA)
Journal
Membership Tiers & Access
Recognition and Awards
Research & Grants
Support
nPod
Events
Upcoming Events
ATMS Biz Club
On-Demand Webinar Recordings
Meet Our Expert Presenters
Join ATMS as a Presenter
ATMS Sponsor Spotlight
News
Education
Education
Colleges & Courses
Continuing Professional Education
Journal
White Paper
Friends
Friends of Natural Medicine
Blog
Podcast
Recipes
Natural Medicine Week
Login
Find a practitioner
Recognition Application Form - General
Contact Us
1800 456 855
info@atms.com.au
Fax (02) 9809 7570
Suite 12/27 Bank St Meadowbank NSW 2114
"
*
" indicates required fields
Institution Name:
*
Name of Principal (or equivalent – include title):
*
Postal Address:
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Telephone
*
Mobile
Email
*
Website:
Main Campus Address:
*
Street Address
City
State / Province / Region
ZIP / Postal Code
All Other Campus Addresses:
List of courses to be accredited with ATMS:
*
Please provide a copy of your Registered Training Organisation (RTO) Registration certificate, or the Higher Education Accreditation certificate. For New Zealand education providers please provide NZQA equivalent.
Max. file size: 100 MB.
Registration/Accreditation number:
Registration/Accreditation expiry date:
DD slash MM slash YYYY
Declaration:
*
I agree to the privacy policy.
I declare that I am authorised to complete this form on behalf of the Institution named on this application form, and that all the information provided is true, accurate and complete. I understand that the acceptance of this form by ATMS does not imply in any way that the educational institution will be recognised, or will continue to be recognised by ATMS. I further understand that ATMS may make additional inquires, including an onsite visit and inspection of the Institution. ATMS will provide reasonable prior notice of any such visit/inspection. I will take all reasonable steps to ensure that ATMS will be advised as soon as practicably possible of any changes to the details provided on this form. I accept that any recognition granted is at all times at the sole discretion of ATMS, and may be withdrawn or varied at any time.
Signature
*
Date
*
DD slash MM slash YYYY
Name of person whose signature appears above:
*
First
Last
Position:
*
Phone Number
*
Email
*
Version: 6.1 – April 2024