Australian Regional Immunisation Alliance (ARIA) Membership Form

Background

The Australian Regional Immunisation Alliance (ARIA) brings together Australian immunisation and vaccine preventable diseases (VPD) experts from at least 12 organisations with decades of collective experience in Australia and the Asia-Pacific region.

ARIA works with governments, global immunisation partners, non-government organisations and other partners to strengthen immunisation and reduce the impact of VPDs in the region.

Eligibility for membership

Applications for membership are assessed by the ARIA Steering Committee, and individuals need to meet all of the following criteria to be considered a member:

1. experience in immunisation and/or VPDs; a commitment to improving immunisation programs in the region; and formally linked to institutions in Australia or in the Indo-Pacific region
2. signatory to the ARIA Membership Code
3. committed to supporting the ARIA Guidelines.

To apply for ARIA membership, please complete the following form and return it to the ARIA Secretariat (SCHN-NCIRSGlobal@health.nsw.gov.au).

The ARIA Steering Committee meets monthly to discuss new membership; you will receive a response after Steering Committee review.

Current General Information
Professional experience (Australian/regional/international)
Complete

Title

Full Name

Primary affiliation/organisation

Secondary or other affiliation(s)/organisation(s)

Role/other titles

Years of experience in sector

Number of years post-PhD/MPH or other, if applicable

Location where you are predominately based

Address

Phone number/s

How did you hear about ARIA? Please tick all that apply

Website

Word of mouth

Other, please specify:

Please tick all that apply:

ARIA Secretariat, NCIRS, Kids Research, Sydney Children’s Hospitals Network, Cnr Hawkesbury Rd & Hainsworth St, Westmead Locked Bag 4001, Westmead NSW 2145 Tel (612) 9845 1433 | Fax (612) 9845 1418 | ABN 53 188 579 090

We acknowledge that the National Centre for Immunisation Research & Surveillance (NCIRS) is on the land of the traditional owners the Aboriginal and Torres Strait Islander peoples, the First Australians, and recognise their culture, history, diversity and their deep connection to the land. Together, through partnership, we aim to move to a place of equity for all. NCIRS also acknowledges and pays respect to other Aboriginal and Torres Strait Islander nations from which our research, staff and community are drawn.