Apply for Fellowship

Fellowship

Application Form
General Details
Full Name*

First NameLast Name
Email address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender
Date of Birth*

DayMonthYear
Are you a current financial member of the AIHS?*
What is your current certification category?*
Referee Details

As indicated on the Entry Criteria document, both your referees need to be current AIHS members. You can download the Referee Report template by clicking on the URL link below. You will need to notify your referees to complete the report and send it to membership@aihs.org.au directly before COB Friday 9 May 2025. Any reports received after 9 May will not be accepted for assessment.
You can read the Entry Criteria here. To download the Referee Report please click here.
Referee 1 Details
Full Name*

First NameLast Name
Email*
example@example.com
Referee 2 Details
Full Name*

First NameLast Name
Email*
example@example.com
Do both your referees understand that the completed written references are requested to be emailed to AIHS directly by COB Friday 9 May 2025?*
Terms and Conditions
I accept AIHS' terms and conditions as outlined in the documents above.*
Mandatory Criteria
How many years' full-time equivalent experience do you have in health and safety related positions?*
How many years' experience do you have in senior position/s and leadership roles?*
In what way do you have recognised good character and standing in OHS/WHS related positions?*
If successful in this application for Fellowship, do you commit to seek to make an ongoing contribution to the work of the Institute and/or its College of Fellows? Please explain.*
Non-mandatory criteria
Have you provided service to the Institute over a reasonable period (at least 3 years), including a commitment to continue this service (e.g., service may include membership of an Institute branch or other committee, representing the Institute on Standards Committees, participation in the mentor program, holding a Board position, etc.?
Have you provided expert advice to government and/or other bodies, e.g., Standards Australia committees, inquiries, industry groups, policy development work, etc?
Have you presented, lectured, tutored at universities and/or conferences?
Have you performed mentoring roles?
Have you been involved in OHS research and/or produced peer review writing/publications?
Have you achieved accomplishments that have contributed to the advancement of the OHS profession or to the advancement of scientific knowledge or that have added significant value to organisations or society?
Supporting Documentation
Please attach an up-to-date CV

(Format: MS Word or PDF only)
Cancelof
Education and Training

You can list up to four (4) of your most relevant qualifications whether OHS qualification or not.
Qualification 1
Level of Education
Institution
Please use official name (e.g. The University of Melbourne, not Melbourne University)
Qualification Title
Country
Major(s) - If relevant
Date qualification completed

DayMonthYear
Date
If not an OHS qualification, was this qualification in a related discipline?

YesNo
If you chose yes, please specify
Upload transcript of qualification

Files must be less than 2MB. Allowed file types: pdf, doc, docx
Cancelof
Qualification 2
Level of Education
Institution
Please use official name (e.g. The University of Melbourne, not Melbourne University)
Qualification Title
Country
Major(s) - If relevant
Date qualification completed

DayMonthYear
Date
If not an OHS qualification, was this qualification in a related discipline?

YesNo
If you chose yes, please specify
Upload transcript of qualification

Files must be less than 2MB. Allowed file types: pdf, doc, docx
Cancelof
Qualification 3
Level of Education
Institution
Please use official name (e.g. The University of Melbourne, not Melbourne University)
Qualification Title
Country
Major(s) - If relevant
Date qualification completed

DayMonthYear
Date
If not an OHS qualification, was this qualification in a related discipline?

YesNo
If you chose yes, please specify
Upload transcript of qualification

Files must be less than 2MB. Allowed file types: pdf, doc, docx
Cancelof
Qualification 4
Level of Education
Institution
Please use official name (e.g. The University of Melbourne, not Melbourne University)
Qualification Title
Country
Major(s) - If relevant
Date qualification completed

DayMonthYear
Date
If not an OHS qualification, was this qualification in a related discipline?

YesNo
If you chose yes, please specify
Upload transcript of qualification

Files must be less than 2MB. Allowed file types: pdf, doc, docx
Cancelof
Please email membership@aihs.org.au if you have any questions regarding this form.

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Fellowship

General Details

Referee Details

Referee 1 Details

Referee 2 Details

Terms and Conditions

Mandatory Criteria

Non-mandatory criteria

Supporting Documentation

Education and Training

Qualification 1

Qualification 2

Qualification 3

Qualification 4