Member's Profile

You have been selected!

We would love to profile you and the work that you do as one of our valued members.  We launched this series in January 2024 with this member profile and had such a great response.

This profile will also be used to promote a career in palliative care, something we know all our members are passionate about.

Grab a tea or coffee and take some time to answer the questions below.

We will then share with you the profile we create for you to approve.

Member’s Profile

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Next Steps: Sync an Email Add-On

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About You

Note: only your name, position and organisation will be used for the profile – no other personal information will be shared
Your Name(Required)
Your Email Address(Required)
Your Address(Required)
Please dot point these in sequential year order, starting with your initial study / degree information (if applicable) and listing your previous roles or additional study done to your current role

Upload photos and/or images

Please upload 2 – 4 photos that capture who you are and what you do professionally. If other people are on the photo along with you, please make sure that you have their authorisation to use and publish. Thank you.
Drop files here or
Max. file size: 8 MB.

    Authorisation and consent to publish content

    By completing the below information, you authorise Palliative Care NSW the use of the content on this form on Palliative Care NSW social media channels, as well as Newsletter and other forms of communications produced by Palliative Care NSW. Thank you.
    Consent confirmation(Required)