Occupational Therapy Australia is committed to protecting the privacy of personal information collected and held. Personal information will be used to process payment and registration, sending correspondence and other purposes.

You have the right to withdraw consent at any time. However, withdrawals are subject to our terms and conditions and cancellation fees outlined within/during the initial registration process.

Please note, if you do not give consent for your details to be used, you will not be able to proceed with registration for the program.
 

Data controller

Occupational Therapy Australia
5/340 Gore Street Fitzroy VIC 3065
P 1300 682 878
info@otaus.com.au
https://www.otaus.com.au

Why are we processing your personal data?

We ask for your personal data to facilitate your attendance for this program.
 

Other third parties that will have access to your personal data

Your data will be shared with other organisations and third parties in order to process your registration.
The following organisations and third parties will have access to your personal data:
Secure Pay
OTA Events Team
Program venues, in instance of dietary, accommodation and accessibility requirements
For detailed information on data collection, storage, and disclosure, and to read our full privacy policy please see OTA’s Privacy Policy.

Data Processing Consent

Data Processing Consent option required

Contact Details

Name Badge Information

If you would like to include a preferred name, or your pronouns on your name badge, please include them below.

Billing Address

Dietary Requirements

If you do not have any dietary requirements, please skip this question entirely.

If you have more than one dietary requirement, please click on the box below and select your first dietary requirement, then repeat the same until all of your dietary requirements appear in the box.

Please provide an emergency contact

Member Registration

AMOUNT
3,900.00
TOTAL

Non-member Registration

AMOUNT
4,800.00
TOTAL

How many years have you been an OT?

What are your main areas of practice?

Area of Practice - Other

What motivates you to apply for this program?

Have you previously participated in any leadership or management training?

Previously attended Leadership Program

What’s the biggest leadership challenge you currently face?

How did you hear about this program?

Any adjustments or accommodations to support your learning that you would like us to be aware of?

Do you have any other accessibility requirements?

Summary

Terms and Conditions

Payment

Thank You

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