NEW MEMBERSHIP APPLICATION 2020 - Australian ...
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NEW MEMBERSHIP APPLICATION 2020 The Australian College of Optometry (ACO) is a National Vision Research Institute non-profit, member-based organisation dedicated The National Vision Research Institute is dedicated to improving public eye health. to researching the complexities of vision and its Members join a collegial professional community disorders and public health. Our vision is to achieve helping to promote the importance of eye health to world leading eye health care outcomes for all. the public and health professionals, and also gain access to a range of membership benefits. Continuing Education We provide best practice clinical learning pathways What does the ACO do? for optometrists from pre-registration through to The ACO is dedicated to providing affordable public professional practice. eye care for people experiencing disadvantage. Our Continuing Professional Development program Victorian Eyecare Service offers flexible, innovative education for optometrists We administer the Victorian Eyecare Service (VES) across a broad range of clinical areas. We offer and Victorian Aboriginal Spectacles Subsidy over thirty CPD programs annually including clinical Scheme (VASSS) in partnership with the State workshops, seminars and webinars, refresher Government of Victoria. courses, advanced certificates, and the ACO National Conference. Our services include primary eye care and extensive Becoming a member of the ACO outreach to people who are homeless, refugees and asylum seekers, Aboriginal and Torres Strait Registered optometrists are invited to apply for Islanders, and supported residential services. membership. Members are guided by, and agree to adhere to, the ACO’s Code of Ethics and Conduct Working with Aboriginal and Torres Strait Islander Standards. communities Members of the wider community with a special The ACO is proud to work with the Aboriginal interest in optometry may apply for an Associate and Torres Strait Islander health service sector, Membership. the Commonwealth Government, and community First Year Graduates are offered a complimentary 12 members in reducing avoidable blindness in month ACO membership with no voting rights. Aboriginal and Torres Strait Islander communities. We provide eye test equipment and training, Optometry students are eligible for Student comprehensive eye health consultations and visual Membership which is free of charge. Please visit aids, and referral pathways for primary care aco.org.au to download the Student Membership services. application form. AUSTR ALIAN COLLEGE OF OPTOMETRY NEW MEMBERSHIP APPLICATION –– 1 OF 4 ––
Voting Members 2020 Fees Classes 2020 Fees AUS Class Definition NZ An optometrist who is registered to practise in Australia Member $355.00 $322.73 or New Zealand Registered optometrist eligible for ACO membership Member working less $265.00 $240.41 but currently working less than 10 hours per week (25% than10 hours per week discount) Registered optometrist eligible for full ACO membership Non-practising $180.00 $163.64 but currently non-practising due to illness or retired, taking optometrist parental or study leave (50% discount) Resides outside Australia or New Zealand, holds an Affiliate $180.00 $163.64 overseas qualification in optometry and is not currently registered to practise in Australia or New Zealand Associate $60.00 $54.55 Those with a special interest in optometry or an allied field Those with a special interest in optometry or an allied Associate (CPD) $180.00 $163.64 field who also want to access continuous professional development. Non Voting Members Classes Class Description First Year Graduates* Free one-year membership granted to graduates within 12 months of graduating from an Australian or New Zealand optometry school. Student* Free membership for students at Australian or New Zealand optometry schools invited to join the College. No access to CPD points. Note: all fees include GST. Where a member resides overseas GST is not applicable. *Student Members and First Year Graduates do not hold voting rights Membership Benefits Membership will entitle you to: • A comprehensive range of education programs (including courses, clinical workshops, CPR courses, webinars, the ACO National Conference and the Advanced Certificate courses) at substantially reduced rates. • Free access to 2019 and 2020 ACO Seminar Series lectures. All lectures are accompanied with optional assessments (20 CPD points per year available, additional points for attending in person). • Complimentary annual CPD points statement provided. • Services and resources from the Nathan Library, including online access to the Australian Medicines Handbook and access to journal articles from Optometry and Vision Science. • The opportunity to apply for ACO Travel Grants (following 12 months’ membership). For more information on eligibility criteria please visit our website aco.org.au. • The opportunity to apply for Fellowship of the ACO following three years of continuous membership. Fellows are recognised as having significantly contributed to the practice and profession of optometry and to the community. • Free inFocus newsletters and regular ACO eNews. • The opportunity to participate in ACO advisory groups and be nominated to serve on the ACO Council (not applicable to First Year Graduates or Student Members). • Voting rights at the ACO Annual General Meeting. AUSTR ALIAN COLLEGE OF OPTOMETRY NEW MEMBERSHIP APPLICATION –– 2 OF 4 ––
ACO Membership Application Form TITLE (please circle): MR MRS MISS MS DR PROF OTHER (please specify): GIVEN NAMES: PREFERRED NAME (if different): FAMILY NAME: DATE OF BIRTH: | | OA/ODOB NUMBER: QUALIFICATIONS: INSTITUTE: YEAR: QUALIFICATIONS: INSTITUTE: YEAR: POSTAL ADDRESS: TOWN/CIT Y: STATE: POSTCODE: COUNTRY: TELEPHONE: ( ) MOBILE TELEPHONE: EMAIL ADDRESS: I AM REGISTERED TO PR AC TICE OP TOME TRY IN AUSTR ALIA OR NE W ZE AL AND YES NO I AM CURRENTLY PR ACTISING AT: STREET ADDRESS: TOWN/CIT Y: STATE: POSTCODE: COUNTRY: BUSINESS TELEPHONE: ( ) BUSINESS EMAIL: my preferred postal address is: residential (as above) business (as above) my preferred email address is: residential (as above) business (as above) i agree to have my name published in aco publications: yes no I consent to the ACO collecting, storing and using my personal information for the purpose of administering my membership and providing ACO related services to me (unless I have “opted out” by contacting the Membership Division). As a member of the ACO I agree to practise in accordance with the ACO Code of Ethics and Conduct Standards and to be bound by the current provisions of the ACO’s Constitution. In signing this document I confirm I have read and comply with the ACO Code of Ethics and Conduct Standards as listed on the ACO website at aco.org.au/membership. If you have any questions regarding the Code of Ethics or Conduct Standards, please contact the Membership Division Phone: (03) 9349 7578 Email: membership@aco.org.au. I declare that all the information supplied on this application is accurate. SIGNATURE DATE | | AUSTR ALIAN COLLEGE OF OPTOMETRY NEW MEMBERSHIP APPLICATION –– 3 OF 4 ––
ACO Membership Application Form I wish to apply to join the Australian College of Optometry in the following class: AUS NZ Member An optometrist who is registered to practise in Australia or $355 .00 $322.73 New Zealand ember working M less than Registered optometrist eligible for aco membership but $265 .00 $240.41 10 hours per week currently working less than 10 hours per week (25% discount) on-Practising N Registered optometrist eligible for full aco membership but Optometrist $180 .00 $163.64 currently non-practising due to illness or retired, taking parental or study leave (50% discount) Resides outside australia or New Zealand, holds an overseas Affiliate $180 .00 $163.64 qualification in optometry and is not currently registered to practise in australia or New Zealand Associate $60 .00 $54.55 Those with a special interest in optometry or an allied field A s s o c i a t e (C P D) Those with a special interest in optometry or an allied field $180.00 $163.64 who also want to access continuous professional development New graduates within 12 months of qualifying from an 1st Year australian or New Zealand optometry school. Maximum Graduate* FREE FREE period of membership at this level is 12 months of the calendar year immediately following their graduating year. *Non-voting member Optional Services: Please indicate if you would like to purchase the following service CO Webinar Package $150: Live access to all 2020 webinars and access to 2019 webinars online. All A webinars are accompanied by online assessments (20+ CPD points) Areas of interest Cornea & Contact Lens Glaucoma Low Vision Ocular Disease Ocular Therapeutics Paediatric Optometry Vision Science Other (please specify) Donation I would like to make a donation to the ACO for use in the following area: Amount $ Research Eye care for disadvantaged General Pay by email Complete this form and email to membership@aco.org.au Pay by mail omplete this form and pay by credit card or cheque (made payable to the Australian College C of Optometry). Mail to the Membership Division, Australian College of Optometry, 374 Cardigan Street, Carlton, Victoria 3053 I enclose payment of ... TOTAL $ Cheque payable to: australian college of optometry debit the following credit card with my PAYMENT TOTAL visa mastercard card number CVV expiry NA ME ON C ARD SIGNATURE DATE | | For more information contact the Membership Division (03) 9349 7578 | membership@aco.org.au | aco.org.au AUSTR ALIAN COLLEGE OF OPTOMETRY NEW MEMBERSHIP APPLICATION –– 4 OF 4 ––
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