Become a part of the ALLG community so that you can collaborate with others who share in the vision of better treatment and better quality of life for people with blood cancer.

Full membership of the ALLG is open to individuals who possess the qualifications and experience to be a site or ALLG trial/study investigator.

To join as a Full Member, please complete the application form below.

  • Medical Specialty

  • Personal Information

  • Academic or Professional Title
  • Type your password. Minimum length of 8 characters.
    The password must have a minimum strength of Weak.
    Strength indicator
  • Type your password again.
  • Employment Contact Details

  • Enter the name of the department you work in.
  • Your employer or institution you are affiliated with.
  • Phone number
  • Fax Number
  • Professional Experience

  • Please list any relevant University or Institutional Appointments you hold or have previously held.
  • Please list any relevant qualifications you hold.
    Please tick if you consent to your contact details (name, institution, email address and phone number) being listed on the ‘Members Only Area’ of the ALLG website.
    Please tick if you consent to your contact details being passed on to the the Therapeutic Goods Administration (TGA) only for the purpose of lodging an applicable Clinical Trials Notification.
  • New Member Proposal

    Both the Proposer and the Seconder must be current financial members of the ALLG. If you don't know two current members, please contact the ALLG to determine the closest current members in your area.
  • The name of an existing ALLG member who can act as a "Proposer" for your application.
  • The name of an existing ALLG member who can act as a "Seconder" for your application.
  • I agree to abide by the Constitution of the ALLG and to pay my annual subscription fee as long as I remain a member.