National Child Protection Clearinghouse

Application for NGO Service Providers Library Membership

Please see the AIFS privacy statement for information on what we do with the details you provide.

Please print and return the completed form to:
Library
Australian Institute of Family Studies
Level 20, 485 LaTrobe Street, Melbourne, Vic 3000
Fax: (03) 9214 7839


Title: (Ms, Mrs, Miss, Mr, Dr)

First Name:

Surname:

Position:

Organisation:

Address:

 

City/suburb:

State:                                                       Post Code:

Telephone: (   )                                      Fax: (   )

Mobile:

Email:

I am a carer or a service provider in a field related to child abuse prevention, child protection, or out-of-home care, working in a not-for-profit, non-government organisation in Australia.

I acknowledge that I have read the conditions for loan and agree to comply with these conditions, including payment for damaged or lost items.