Personal tools
You are here: Home → About NZSTA → NZSTA Membership Form
NZ STA

NZSTA Membership Form

This form is for Speech-language Therapists who wish to renew their membership or for therapists trained in New Zealand who want to become members of the NZSTA.

NZSTA Membership Form

This form is for Speech-language Therapists who wish to renew their membership or for therapists trained in New Zealand who want to become members of the NZSTA.

This form is for Speech-language Therapists who want to renew their membership or for therapists trained in New Zealand who wish to apply to become Full, Provisional, Non-practising, Associate, or Student members of the NZSTA.


Overseas Speech-Language Therapists wishing to apply for membership with the NZSTA need to follow the Qualifications Approval Process. For further information please contact the Executive Officer.

(Required)
(Required)
If you have changed your name to the one indicated above, please give your previous name in the space below. Please note, documentation of the name change should be sent electronically or as a hard copy to the Executive Officer.
Please enter your most recent membership number (if known).
(Required)
(Required)
Please enter the email address you would like NZSTA updates to be sent to. If you do not have a current email address, please enter "none".
(Required)
(Required)
(Required)
Please provide details of your current employer. If you are not currently employed as a Speech-Language Therapist, please indicate this in the space provided.
(Required)
To select more than one option, press "ctrl" whilst left-clicking on the desired option with your mouse.
(Required)
(Required)
To select more than one option, press "ctrl" whilst left-clicking with your mouse.
(Required)
There are currently six membership categories available. For full details on each category, applicants should refer to the "Joining NZSTA" page on this site. Applicants should only choose one membership category.
If you have previously been a student member of NZSTA, please select the appropriate years of membership below. For each year of student membership, deduct 10% from the annual fee (i.e. each year of student membership = a $20 discount).
(Required)
Please enter the year of your final year of study.
(Required)
Please enter the highest level of qualification in Speech-Language Therapy you currently hold (e.g. Bachelor, Masters, etc.).
(Required)
Please enter the name of the institution where you gained the qualification provided above.
Please list any particular areas of interest (related to Speech-Language Therapy) you currently have.
(Required)
A record form for Continuing Professional Development points and more information about this system is available on this site. Please indicate below whether a form for the previous year has been sent to the Executive Officer.
(Required)
Please indicate your payment method. When making an electronic or direct payment, please use either your membership number or your name as the reference.
If you have selected "electronic bill payment" as your payment method, please indicate the date on which the payment has been / will be made.
(Required)
If you are renewing your membership with NZSTA or are joining for the first time, you are required to send a copy of proof of your SLT qualifications. You are not required to do this if you have previously provided a copy. Please select the most appropriate descriptor from the list below. Please note, applications for membership or renewal of membership will not be processed until all relevant documentation has been received and approved by the Executive Officer.
(Required)
Please select the most appropriate descriptor from the list below. Please note, applications for membership or renewal of membership will not be processed until all the relevant documentation has been received and approved by the Executive Officer.
(Required)
In order for your application to be approved, applicants must agree to the following declaration: "I have read and understood the implications of the NZSTA Code of Ethics (2008). I declare that I am bound by this Code, and any subsequent amendments, throughout the time of my membership with the NZSTA. I understand that, should I cease to be a member, any complaint against me may be directed to the Health and Disability Commissioner for investigation. I declare that the information provided in this form, and all other relevant documentation, is true and correct."

Before an application for membership with the NZSTA can be approved, payment must be received (see above). Payment should be sent to:

Executive Officer

NZSTA

PO Box 38 070

Parklands

Christchurch 8842

Document Actions
Members Area


Forgot your password?
 
Web Design: MetaSolutions -- Web & CMS Development: TheVirtual Ltd.