Leadership Accreditation Pathway Application Form

Application Form

The Accreditation Committee of the Balint Society of Australia and New Zealand (BSANZ) welcomes your application for entry into the pathway for Balint leadership training.

Please fill in this form and then click on Send at the bottom of the form. The form will be sent to the BSANZ Accreditation Committee.


  1. Fees involved in supervision, observation and support of the applicant are a matter for negotiation between the relevant parties. The BSANZ does not determine the fee structure.
  2. Entry into the Pathway for Balint Leadership Accreditation requires:
    • Membership of the BSANZ
    • Entry fee – AUD$300 for Australian entrants, NZD$315 for New Zealand entrants.
    • Annual training fee: AUS$200 NZD$215

    (include professional roles, place of work, and scope of work)

    (e.g. ongoing groups, short courses, Balint Intensives)

    (Please list all of the groups in which you have participated).

    Please attach the following documents with your application (Less than 25mb Total. PDF or document format e.g. PDF DOC ODT):

    (Or ask a registered professional colleague to send a reference supporting your application directly to admin.bsanz@bigpond.com)

    Please click on Send and be patient, uploading large files may take some time.