Login to pre-fill the membership application form. "*" indicates required fields 1Membership Options2Personal Details3Professional Details4IIA-Australia Member Perspective Classification5Other Information6References7Declaration Membership Application Form IIA-Australia Membership will support internal auditors to be the best they can be and will help advance the status of our important profession.Membership Type* Affiliate Membership – $435 annually Associate Membership – $660 annually Professional Membership – $660 annually Student Membership – Complimentary To qualify as a 'Professional Member'*You will need to demonstrate a minimum of 24 months work experience in an internal auditing role or other professional experience within the past 5 years AND satisfactory completion of either: GradCertIA CIA Assessment of Current Competence Program Student Membership is only available to full time students or full time international or distance students. A scan of your student card must be provided with this application form. * Please note that IIA-Australia reserves the right to contact your educational institute to confirm your statusThe class of Affiliate Member is open to all non-internal audit practitioners who work closely with internal auditors. If you join under Affiliate Membership you will not hold professional membership (PMIIA) or associate membership (AMIIA) of IIA-Australia and you will not have voting rights. To be eligible for Affiliate Membership, you must meet our skills and experience criteria.The Associate Member designation identifies members by the post nominal of AMIIA®. To be eligible for Associate Membership you will be working in internal audit however, you have not yet applied or met the requirements for professional membership; or you are interested or involved in internal auditing but not necessarily working as an Internal Auditor.Professional members will be identified by the unique post-nominal of PMIIA®. It will signal to employers, peers and the broader community that they have met a prescribed set of competencies. *Please note that IIA-Australia will contact you with regards to the evidence required. Personal DetailsName* Prefix MrMrsMissMsDrProfRev First Middle Last Name on Certificate*As part of your IIA Australia membership, you will be issued with a certificate. Please indicate your preferred name on this certificate.Do you identify as an Aboriginal/Torres Strait Islander? Non indigenous – neither Aboriginal nor Torres Strait Islander origin Of Aboriginal origin but not Torres Strait Islander Of Torres Strait Islander origin but not Aboriginal Both Aboriginal and Torres Strait Islander origin No information MonthMonth of BirthSelect your birth monthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYearYear of BirthSelect your birth year1930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050Primary Email* Create Password* Enter Password Confirm Password Passwords must have: a minimum length of 8 characters at 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Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamVirgin Islands (British)Virgin Islands (US)Wallis and FutunaWestern SaharaYemenZambiaZimbabweSuburb*State*Select a stateACTNSWNTQLDSATASVICWAState*Postcode*Billing AddressSame as above Same as Residential Address Address line 1*Address line 2Country*AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamVirgin Islands (British)Virgin Islands (US)Wallis and FutunaWestern SaharaYemenZambiaZimbabweSuburb*State*Select a stateACTNSWNTQLDSATASVICWAState*Postcode*Organisation DetailsOrganisation*Position titleBusiness AddressAddress line 1*Address line 2Country*AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamVirgin Islands (British)Virgin Islands (US)Wallis and FutunaWestern SaharaYemenZambiaZimbabweSuburb*State*Select a stateACTNSWNTQLDSATASVICWAState*Postcode*Other Organisation DetailI am currently working for: Listed Company Private Company Not-For-Profit Consulting Firm Federal Government State Government Local Government Sole Practitioner Market Capitalisation ($m):Gross Revenue ($m):Less Than $1M$1M - $10M$11M - $100MMore than $100MUnknown Student DetailsA scan of your student card must be provided with this application form. Please note that IIA-Australia reserves the right to contact your educational institute to confirm your statusEducation InstitutionExpected Education Completion Date* DD slash MM slash YYYY Student ID Card uploadAccepted file types: jpg, jpeg, png, pdf, Max. file size: 5 MB.EducationAcademic Qualifications*Select at least 1 from the following options BA B Bus B Com B Ec B Eng B Sc LLB LLM MBA M Com M Ec M Sc Other (please specify)Professional InformationIndustry Code*Select at least 1 from the following options 0100 Agricultural/Forestry/Fisheries/Production/Services 1000 Mining 1300 Oil and gas extraction 1500 Construction 2000 Food/kindred products 2100 Tobacco manufacturers 2200 Textile mill products/apparel 2400 Lumber/wood products (incl. furniture/fixtures) 2600 Paper and allied products (incl. printing/publishing) 2800 Chemicals 2830 Drugs and research 2840 Petroleum refining and related industries 3010 Rubber and plastics products 3100 Leather, stone, and glass products 3300 Primary metal industries 3400 Fabricated metal products (including nonelectric machinery) 3500 Industrial and commercial machinery 3510 Aerospace 3520 Computers and related devices/equipment 3600 Electrical machinery, electronic equipment and supplies 3700 Transportation equipment 3800 Scientific, photographic, medical goods 3900 Miscellaneous manufacturing industries 4000 Land transportation 4400 Water transportation 4500 Air transportation 4700 Other transportation services 4800 Communication services 4810 Telecommunications 4900 Electric/gas/sanitary services 4910 Gas services 4920 Gas & electric services 4930 Sanitary services 5000 Wholesale trade 5300 Retail trade 5800 Eating and drinking places 6000 Banking and financial institutions 6030 Nonbanking bank services (e.g., leasing) 6040 Thrift and savings and loan organizations 6100 Credit unions 6130 Other credit agencies 6200 Security and commodity services 6300 Insurance carriers, agents, services 6500 Real estate services 6700 Holding/investment companies 7000 Hotels/lodging services 7200 Personal/social services 7300 Contracted audit services 7310 Management consultants 7320 Information technology services 7330 Executive placement services 7500 Repair services 7600 Gaming/lottery 7800 Motion pictures/amusement and recreational services 8000 Health services 8100 Legal services 8200 Educational services 8600 Membership organizations 8900 Public accounting/accounting/bookkeeping services 8910 Miscellaneous services 9100 Federal/national government 9200 State/provincial government 9300 Local government 9400 International government 9900 Nonclassifiable establishments 9999 Not for Profit Other (please specify)Job Code*Select at least 1 from the following options 200 Chief Audit Executive/ Head of Internal Audit 210 Director of Audit 220 Audit Manager 230 Audit Staff 245 IT Audit Director 250 IT Audit Manager 260 IT Audit Staff 275 Audit Services Contractor 280 External Public Accountant 300 Corporate Management 310 Educator 330 Retired 340 Audit Committee Member 350 Management Consultant 360 Other Other (please specify)Outsourcing*Please indicate below which areas are outsourcedAllPartNone IIA-Australia Member Perspective Classification We are exploring what is important to you as an internal auditor in general and from the Institute. Answering the following 10 questions should only take a few short minutes to complete. To what extent do you agree or disagree with the following statements? Enter the number in each box that represents your level of agreement. Strongly disagree, neither agree nor disagree or Strongly agree Q1. Being a member of the IlA gives me a strong sense of career stability*012345678910Q2. Being a member of the IlA gives me the confidence to be the best I can be in my role*012345678910Q3. I am concerned about whether I will be able to manage my career successfully*012345678910Q4. I am extremely ambitious and really want to progress in my career*012345678910Q5. I only feel successful in life if I am successful at work*012345678910Q6. It is extremely important to me that I only consider the least expensive tools and resources to help me as an internal auditor because I need to be careful with my finances*012345678910Q7. It is important to me personally to give back to the community and the profession*012345678910Q8. It's extremely important to me to have an orderly process in all my work*012345678910Q9. My manager or other more senior people should be responsible for driving my professional development*012345678910Q10. Technical skills are the most important skills for me to be successful in my role / career*012345678910 Other MembershipsOther MembershipsPlease tick as many boxes as appropriate ACCA AICD AIM CPA Australia CAANZ ISACA FINSIA RMIA Law Society/Institute Institue of Public Accountants Other specify:Please indicate your Internal Audit responsibilities*Select an optionI am the Head of Internal AuditI report to the Head of Internal AuditThe Head of Internal Audit reports to me Application InformationTwo referees are required, ideally one of those should be a member of IIA-Australia and the other a business associate. If you do not know a member of the IIA-Australia, please provide two business referees.Referee 1Prefix*MrMrsMsMissDrFirst Name*Last Name*CompanyPositionEmail* Business PhoneIIA - Australia member Yes No Referee 2Prefix*MrMrsMsMissDrFirst Name*Last Name*CompanyPositionEmail* Business PhoneIIA - Australia member Yes No DeclarationPlease contact the membership manager - phone number from the IIA website to discuss any of these.A. Have you ever been convicted of a criminal offence or is there a charge pending?* Yes No B. Have you ever been refused membership, or had membership forfeited, of a statutory, professional or other body?* Yes No C. Have you ever been subject to disciplinary proceedings by a statutory, professional or academic institution or other body?* Yes No D. Are you presently under any order of the court, are you a bankrupt, have you made any assignment for the benefit of your creditors or have you executed an authority under Part X of the Bankruptcy Act 1966 within the last three (3) years?* Yes No E. Are you subject to a notice not to manage a corporation as provided in section 206, Part 2D.6 or the Corporations Act 2001?* Yes No F. GradCertIA only: Have you completed 24 months relevant experience? Yes No TermsPlease indicate your acceptance of these terms by crossing the box beside each statement.I have read and agree to be bound by the provisions of IIA-Australia’s Constitution and By-laws prescribing ruling on the standards of practice and professional conduct, including the International Professional Practices Framework, as required by the IIA-Australia to be observed* I Accept I have read and will abide by the Code of Ethics adopted by the IIA-Australia to govern its members* I Accept I agree to produce such further evidence and information in relation to this application as may be required by the IIA-Australia to attest that the information is true and correct* I Accept I have read the Privacy Statement and I consent to my personal information being collected, used and disclosed for the purposes stated* I Accept I will undertake, and keep a record of my Continuing Professional Education obligations (currently 80 hours over two years for Professional Member) and (60 hours over two years for Associate Member)* I Accept The information provided in this application (including any attachments) is true and correct and I make it in the knowledge that a person making a false declaration is liable to the penalties of perjury* I Accept In consideration of the Institute of Internal Auditors-Australia’s evaluation of my suitability for professional or associate membership, I understand and agree that confirmation of my responses will be sought. These checks may include, but are not limited to, criminal history and verification of my qualifications and professional membership(s). I hereby authorise the IIA-Australia and its authorised nominees to collect, use, disclose and store personal information about me from third parties, for the purpose of verifying my experience and qualifications. Additionally, I allow third parties holding personal information about me to release such information to the IIA-Australia and its authorised nominees. Information on the above terms can be found at www.iia.org.auEmailThis field is for validation purposes and should be left unchanged.
