Application Form for Associates

Applying to become an Associate of Bionics Queensland Incorporated

Applications for Associate status should initially provide a brief email letter of interest to the Chair of Bionics Queensland, Dr Dimity Dornan (telephone on 07 3850 2111 or 0417 649 647).

This is an opportunity to discuss your organisation’s interest in Bionics Queensland (its vision and goals) and to hear more about the diverse benefits of participation. Organisations applying for Associate status should also complete the application form below. You may complete this form at any time (before or after emailing or calling us to discuss your interest). Once your application has been approved, we will contact you for payment and provide further detail on our policies, events and activities. Click here to read our Summary of Benefits and Fees for Associates.

Application form