Players.CM Registration Request Form

Only fill this form if you have been invited, or have already inquired, about joining Corpus Medicorum as an orchestral or choral member. Otherwise, your registration request will be ignored.

Email* Do NOT use a student or temporary email address! Use a personal email address.

Create password*

• Your password can’t be too similar to your other personal information.
• Your password must contain at least 8 characters.
• Your password can’t be a commonly used password.
• Your password can’t be entirely numeric.

Re-enter password* Enter the same password as before, for verification.

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Personal information

Title

Dr A/Prof Prof Miss Mr Mrs Ms Mx Other

Other title

First name*

Surname*

Post-nominals PhD, MBBS, MD, RN, FRACS etc.

Phone number* If using a non-Australian number, please include your country code (eg. +44).

Main occupation*

Professional musician Doctor Medical/Healthcare Student Dentist Nurse Physiotherapist Occupational Therapist Speech Pathologist Audiologist Medical Scientist Psychologist Medicolegal Lawyer Other Healthcare Professional Other Student Other

Other occupation*

Orchestral experience* Please provide a short description of your orchestral experience. (max 1000 characters)

Profile picture*

We need a clear photo of your face to confirm your identity. This will only be visible to Corpus Medicorum administration. Image formats only. Max 5 MB.

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Instruments

Instrument*

--------- Conductor Violin Viola Cello Double Bass Piccolo Flute Oboe Cor Anglais Clarinet Bass Clarinet Bassoon Contrabassoon French Horn Trumpet Cornet Trombone Tuba Percussion Harp Piano Celeste Organ Soprano Mezzo-soprano Alto Tenor Baritone Bass Administration

Formal qualification*

Grade 8 AMEB Certificate of Performance AMusA LMusA Tertiary studies/degree Professional Other

Additional proficiency information

Delete

Add instrument

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Submit