This application is for NEW Student members. Renewing members please complete alternate form.
If you do not want ESSA to release your information, you can make changes at any time through the My Account section of the ESSA website, or by contacting the ESSA National Office at firstname.lastname@example.org or by ticking the box below.
You can view and update your personal information at any time through the My Account section of the ESSA website.
Please upload a copy of your student ID card here. Please note, if your current student ID card is not valid until 31st December 2018, you are required to upload a copy of your 2018 student enrolment notice confirming your student status for 2018.
By checking the box below you confirm that you are a fit and proper person by acknowledging the following:
By checking the box below you agree to abide by the Exercise & Sports Science Australia Code of Professional Conduct and Ethical Practice.
By checking the box below you certify that the information supplied on and with this form is true and correct.
ESSA Locked Bag 4102, Ascot, QLD 4007 • P 07 3171 3335 • F 07 3318 7666 • E email@example.com • ABN 14 053 849 460