Expression of Interest 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 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

Australian-based or formally linked to an Australian institution
Recognised for their regional and/or international experience and expertise related to immunisation and VPD relevant to ARIA objectives
Signatory to the ARIA membership code
Committed to supporting the ARIA guidelines

To apply for ARIA membership, please complete the following form. The ARIA Steering Committee meet monthly to discuss new membership; you will receive a response once a decision has been made.

Please note: you will need to provide a range of information in your application. We will ask you to provide details about yourself, your qualifications and professional experiences. Our privacy policy outlines the personal information we collect and what we do with it.

You won't be able to submit your application until you complete and save all sections and the application must be completed in one sitting.

Current Personal Information
Professional experience (Australia)
Information about your work
Professional experience (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

City 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:

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.