Membership Application Form

Corporate Membership, which shall be open to any agency engaged in any aspect of health and safety. Corporate Members may be represented at meetings by any person they may wish to.
Details of a further 3 Corporate Additional’ named colleagues may be placed on the membership database and receive updates and information as the main representative.

Individual Full Membership, which shall be open to any individual engaged in any aspect of health and safety within or for an agency. Where two or more persons hold the same post in an official job share arrangement, they may jointly hold one Membership. (Full access to membership benefits)

Please read the above before choosing your membership grade

Individual Retired Membership, which shall be open to any current Full Member who has retired from normal employment.

Individual Associate Membership, which shall be open to any person who is a carer, (i.e.: friend or family member, or volunteer or unpaid) or who works as a care giver, is a student, or represents those employed in the sector
(Limited access to membership benefits)

    Membership Grade

    Required fields are marked *

    Membership Grade


    For Corporate Memberships payment is required by one person – The Corporate Representative.
    Additional Members check N/A in the payment box.

    Your Details...

    Your Details...


    Your job title, this is publicly shown within Member searches.


    Please check this carefully as it will be used to send you your login details.


    Privacy Option: Check this box if you wish to hide your email address on Member searches.

    This mailing list is designed to enable you to choose the information you wish to receive. Please check all areas you would like to receive information on from NASHiCS.

    If you do want to receive mailings concerning any of the categories listed below, please ensure that you tick the box to opt in.)

    You may opt in or out of any category later at any time.










    Organisation Details...

    Organisation Details...


    Your Company name, this is publicly shown within Member searches.

    Billing Details (if different from above)

    Billing Details (if different from above)

    General Details...

    General Details...

    If 'Other' please specify:


    Please note that the submit button is disabled until you confirm the terms and conditions above