Institutional Membership | PESA Wellbeing Education

Thank you for applying to become an Institutional Member of PESA on behalf of your school or institution. To proceed with your application, please complete the form below.

Once submitted, your request will be reviewed within 3–5 working days. Please look out for an email with the next steps to finalise your membership registration.

School/ Institution Name:*

Institution Sector:*

Year Levels:*

Membership Type*

Billing Information

To facilitate a smooth set up and membership renewal process, please provide an email address that will receive invoices relating to membership payment/ renewals. If you prefer to be notified (you can always forward invoices to your finance/ administration department), please enter your email address:*

Contact's Current Role:*

Payment Information

Enter purchase order number below, if required:

Team Members

As part of your institution’s membership, nominated staff members will gain access to PESA’s resources, professional development opportunities, and communities of practice. Please nominate up to 5 staff members including adding yourself, if required. This can be altered later via your account.

Additionally, designate a ‘Team Manager’ who will have the ability to add and remove team members, as needed.

First name:

Last name:

Email address:

First name

Last name

Email address

Last name

Email address

First name

Last name

Email address

First name

Last name

Email address

Membership Consent

Please note: All PESA member information is held in accordance with PESA's Privacy Policy.

Email

This field is for validation purposes and should be left unchanged.