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FULL MEMBER: Annual Fee $403.00 (includes GST)A full member is a healthcare professional providing services for people with or affected by diabetes. A full member has full voting rights, can hold office and apply for recognition as a Credentialled Diabetes Educator and receive all notices and publications and participate in ADEA discussions and networks.
AUSTRALIAN ASSOCIATE MEMBER: Annual Fee $293.00 (includes GST)An Australian associate member is a person who has an interest in diabetes education and is an Australian resident. An Australian associate member will receive email member updates, notices and the quarterly ADE publication and can participate in discussions and networks and in line with the ADEA Constitution cannot vote, hold office or apply for recognition as a Credentialled Diabetes Educator.
INTERNATIONAL ASSOCIATE MEMBER: Annual Fee $293.00 (includes GST)An international associate membership is open to those who reside outside Australia and is available to any person working or with an interest in diabetes education. An international associate member will receive electronic member updates, notices and the quarterly ADE publication and can participate in discussions and networks and in line with the ADEA Constitution cannot vote, hold office or apply for recognition as a Credentialled Diabetes Educator.
First nameLast name
Date of Birth
Subscribe to ADEA e-NewsletterYesNo
Subscribe to Australian Diabetes Educator (ADE) PublicationYesNo
Subscribe to Diabetes Australia (DA) PublicationsYesNo
StateNoneAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaOverseas
Postal StateNoneAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaOverseas
Preferred contact methodEmailWork PhoneHome PhoneMobile PhonePost / Mail
Do you speak any languages other than English?NoYes
Do you use this language in your workNoYes
Do you identify as an Aboriginal and/or Torres Strait Islander?NoAboriginalTorres Strait IslanderAboriginal and Torres Strait Islander
Primary DisciplineRegistered Nurse (RN or Division one)RN/RM (Registered Nurse and Registered Midwife)Direct Entry MidwifeAccredited Practising DietitianRegistered Medical PractitionerRegistered PharmacistRegistered PodiatristAccredited Exercise PhysiologistRegistered PhysiotherapistAboriginal Health PractitionerAboriginal Health WorkerAged/residential Care workerDentistEnrolled Nurse (EN)Nurse AssistantOccupational TherapistOptometristPsychologistSocial WorkerCompany RepresentativeOther
Other Primary qualification
Advanced/Specialty QualificationsAccredited PharmacistAdvanced Accredited Practising DietitianCertificate in Fitness (Fitness instructor)Certified Product (Insulin Pump/CGM) Trainer (CPT)Endorsed Nurse PractitionerMedical Specialist (eg Endocrinologist, Ophthalmologist)Research (PhD / Masters)
Diabetes education qualificationCertificate III Diabetes Management in General Care SettingGraduate Certificate in Diabetes Education / CareGraduate Diploma in Diabetes Education / CareMasters Degree - Coursework - in Diabetes Education / CareMasters Degree - Research - in Diabetes Education / CareNon-award Course in Diabetes Education / CarePhD - in Diabetes Education / CareOther
Other Diabetes education qualification
Other Area of Practice
Professional ExperienceAged CareCALD (Culturally and Linguistically Diverse Population)Carb CountingCardiacCGMDesigning education programsDiabetes in Developing CountriesDiabetes in PregnancyDiet and NutritionExercise programsFertilityFootcareGDMHealth Professional EducationIndigenous healthMedication ReviewMental HealthPaediatricsPre DiabetesPumpsRenalResearchWeight loss / BariatricsWriting for consumersWriting for publicationOther
Please list specific CALD population/s
How many year’s experience do you have in diabetes related work?
Available SIGCommitteesDiabetes in PregnancyPrivate practiceWorking parties
Time spent in diabetes educationNot involved in the speciality of Diabetes Education/Care< 0.2 FTE= 0.2 < 0.5 FTE< 0.5 < 1.0 FTE≥ 1.0 FTE
Current position requires ADEA CDE statusYesNoNot Available
Work SectorAboriginal medical serviceCommunity health service or centreDiabetes CentreGeneral practiceGovernmentNon-government organisation (e.g. Diabetes Australia)Not working at the momentNursing organisationPharmaceutical or diagnostic companyPrimary Health NetworkPrivate health care organisation (e.g. disease management organisation, Private health fund)Private hospitalPrivate practicePublic hospitalResidential Aged Care FacilitySelf-employedUniversity or other training organisationOther
Other Work Sector
Do you provide outreach services?YesNo
If yes, What services do you provide?Outreach by phoneOutreach by travelOutreach by video link
Role at workDiabetes EducatorDietitanDoctor/Medical specialistExercise PhysiologistGeneral NurseManagerMidwifeNurse PractitionerPharmacistPhysiotherapistPodiatristPrimary Health Care NurseResearcherStaff educatorTeacher/LecturerTelephone ServiceOther
Role at work other
Workplace RegionInner RegionalMajor CitiesOuter RegionalRemoteVery Remote
Code of conductI hereby agree to abide by the ADEA Code of Conduct.