Home
About Us
Our History
40th Anniversary
Life Members and Past Presidents
Milestones
Governance & Rules of Association
Annual General Meeting
Committee
Young Professionals
Membership
Memberships Overview
Membership Tiers
Standard Membership
Young Professionals Membership
Student Membership
Emerging Leaders Program
Frequently Asked Questions (FAQs)
Member of the Month Application
Events
Events Overview
Calendar of Events
Past Events
President’s Cup Golf Day
Industry Events Calendar
Annual Gala Ball
Event Photos
Becoming a Sponsor
Education Engagement
Get Into Mining
Education Engagement Overview
Scholarships
Scholarships Overview
Categories and Applications
2023 Scholarship Winners
Past Winners
Sponsors
STEM Program
STEM Program Partners
News
Latest News
News Archive
Publications
Minesite Annual
Member News
Contact
General Enquiries
Members – Update Your Contact Details
Join our Mailing List
Latest News
Membership
General Enquiries
Home
About Us
Our History
40th Anniversary
Life Members and Past Presidents
Milestones
Governance & Rules of Association
Annual General Meeting
Committee
Young Professionals
Membership
Memberships Overview
Membership Tiers
Standard Membership
Young Professionals Membership
Student Membership
Emerging Leaders Program
Frequently Asked Questions (FAQs)
Member of the Month Application
Events
Events Overview
Calendar of Events
Past Events
President’s Cup Golf Day
Industry Events Calendar
Annual Gala Ball
Event Photos
Becoming a Sponsor
Education Engagement
Get Into Mining
Education Engagement Overview
Scholarships
Scholarships Overview
Categories and Applications
2023 Scholarship Winners
Past Winners
Sponsors
STEM Program
STEM Program Partners
News
Latest News
News Archive
Publications
Minesite Annual
Member News
Contact
General Enquiries
Members – Update Your Contact Details
Join our Mailing List
Home
Forms
WA Mining Club Young Professionals Application Form
WA Mining Club Young Professionals Application Form
* Indicates field is required.
Name
*
First
Last
Year of birth
*
Company
Job Title
*
Email
*
Personal Email
*
Gender
*
Male
Female
Prefer not to say
Other
If other, please specify
Postal Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Street Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Mobile Phone
Phone
What makes you a young professional within the mining industry?
*
Please tell us the core business type of the company you work for
Construction
Consulting services
Education
Engineering services
Environmental services
Finance or legal
Government department
Large machinery or equipment provider
Media or communications
Mining exploration or development
Mine Producer
Oil or gas producer
Power or energy generation
Project management
Recruitment
Sales and marketing
Small equipment provider
Software and ICT
Technical services
Transport or logistic
Job Category
Business Owner
Senior Management
Middle Management
Business Development
Sales
Recruitment
PA/EA/Assistant
Geologist/Metallurgist
Finance/Human Resources
What is your Primary Speciality
Board Member Non - Executive
Investor
CEO
CFO
COO
Managing Director
Aboriginal Heritage / Native Title
Administration
Business Development, Marketing, Sales
Construction
Data Analytics
Drilling Contractor
Education Provider
Emergency Management and Security
Engineering
Environmental
Facility Management (e.g. Camp Management)
Finance / Commercial
Geoscience and / or Water Science
Health, Hygiene and Safety
Human Resources
Information and Technology
Legal
Management Consulting (e.g. Strategy / Business Improvement)
Marketing and Communications
Metallurgy / Chemical Engineering
Mineral Processing
Project Management
Quality
Recruitment / Talent Acquisition
Research
Social Performance / Community Engagement
Stakeholder Management
Student
Sustainability
Software and ICT
Structural, Mechanical, Piping
Surveying
Tailings Design, Operations or Closure
Tools or Technology Sales / Support
Transport, Warehousing and Logistics
Travel Services
Retired
Other
If other, please specify
If you chose mining, what commodity do you mine?
Base Metal (Cu, Ni, Pb, Zn)
Battery Mineral (Li, Co, Va, Graphite)
Third Choice
Bauxite
Coal
Gold
Iron Ore
Rare Earth
Basic Raw Materials
Mineral Sands
Potash
Specialty Minerals
Other
How long have you been in the industry?
*
Currently Studying
Less than 2 Years
2-10 Years
11 - 20 Years
> 20 Years
Where do you work?
*
Perth Metro or CBD Office
FIFO / DIDO
Regional / Residential Towns
Working from Home in Western Australia
Interstate
International
Other
How did you find out about the WA Mining Club
Colleague
Client or supplier
Web search
Attendance at a previous event
Other
If you found out about the Club in another way please let us know
How many employees in your company (including yourself)*
1-5
6-10
11-20
21-100
101-500
Educational Qualifications
Post Graduate
Tertiary
Secondary
Trade
Prefer not to answer
If other, please specify below
Are you of Aboriginal and/or Torres Strait Islander Descent?
Yes
No
Prefer to not disclose
Our Constitution states that all new members must be referred by a current member. Please advise the name of your referee.
*
Hidden
Please tell us the member's name (f you know a current member)
What services do you want the WA Mining Club to offer you
*
Young Professionals Networking Events
Luncheons
Members' Only functions
Golf Day
Other
LinkedIn Profile
*
Publications - do you wish to receive hard copy (Printed) material or would you prefer digital copies of any publications (eg. Minesite)
Hard Copy
Digital
Both
Are you happy for us to share your contact details with third parties (only partners and associated organisations, at the discretion of the President)
Yes
No
What other services or events would you like to see the WA Mining Club offer
Please complete the field below.
Thank you for your interest in joining the WA Mining Club.
Email
This field is for validation purposes and should be left unchanged.
