AUSTRALASIAN ASSOCIATION FOR INSTITUTIONAL RESEARCH

Please complete this form on screen, then print it, sign it, and return it by email.

See submission instructions on page 2.
Surname / Title (Ms, Mr, etc.)
Given names
Date of birth / Gender / Male Female
Please write each year that you were a member of AAIR?
Work details
What was your last place of employment and position held?
Institution
Department
Position
Year instated
Date retired
Home address
Address
Telephone
Mobile
Email
AAIR may compile a list of members’ names and email addresses for circulation only to AAIR members or for publication in a members-only section of its website.
If you DO NOT wish to be included in such a list, please tick this box.

Please answer the following questions.

Note: The field will expand as you type. If you need more room, please check the box and attach.

What are you qualifications?
I have attached additional material pertaining to my Qualifications.
What are your institutional research relevant skills?
I have attached additional material pertaining to my institutional research relevant skills.
What are your institutional research related interests?
I have attached additional material pertaining to my institutional research related interests.
Please provide a brief bio (250 words or less)
I have attached a brief bio (250 words or less).

DECLARATION OF RETIREE STATUS

Tick the box:
I hereby declare that I am a retiree and exempt from paying a membership fee / AUD$0.00
Name / Signature / Date

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Please either email this form to: and (cc), or

Print and return this form by post to:

Australasian Association for Institutional Research Inc.

Suite 204, 585 Little Collins Street

Melbourne

VIC 3000

The term of membership for a Retired Member is ongoing until such point as the Retired Member resigns their membership in writing.

Note: Applicants are NOT officially a Retired Member until approved by the Executive Committee.

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