New Membership Application Form

Use this form to apply for membership online.

Please note if you are applying for Membership for the first time you will also need to provide additional evidence by email. This may require you to scan in documents, or convert documents to electronic formats. We ask for the evidence to be sent electronically because the WESNET Committee has to approve all memberships and the committee members are in several locations all over Australia. This makes sending any hard copy documents both impractical and expensive.

Membership Type: *

Reciprocal membership is only available to organisations that have WESNET as a member.

Organisational (full) membership is open to a women’s service that is a non-government organisation which provides a DV/FV specific services to women and children and where those services are delivered and managed by women.

Individual (full) membership is open to individual women who support WESNET’s Vision, Purpose and Objectives and who are not employees of State, Territory or Commonwealth governments.

Associate membership is available to any other organisation or individual who supports WESNET’s Vision, Purpose and Objectives.

My organisation/I support the objectives of the Women's Services Network and hereby apply for membership:

You must agree to this statement in order to have your membership application considered.

Contact: *

Include the name of the primary contact for your organisation or your own name if applying for individual membership

ABN: should be in format ## ### ### ###

Service/Organisation Name:

Address Line 1: *

Address Line 2:

Suburb: *

State: *

Please select your State or Territory

Postcode: *

Email: *

This should preferably be the email address of your contact listed above.

Your name: *

The name of the person completing this on-line form

Your position: *

include your position title if you are applying on behalf of an organisation.

Contact phone (BH): *

Just in case we need to clarify information on your application. Please include your AREA code.

Today's date: *

For New Individual members - statement of reason for application:

Please provide a brief statement of reason for applying for WESNET membership.

For New Member Organisations - List of evidence you will send separately by email:

electronic copy of last annual report

electronic copy of constitution

electronic copy of your statement of Purpose, Aims and Objectives

other evidence

Please select any of the above options. The email address to which you need to send the material will appear on the next page.

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