VAADA Organisation Membership Application Form

Your Organisation

Organisation Name*

About Your Organisation*

Please provide a brief description of your organisation

Please list any professional memberships you may have:*

Do you receive funding from the following (please tick all that apply):*

Commonwealth
State
Other

What is your funding source?*

List any accreditation standards that apply and date of your most recent accreditation:*

(refer to Accreditation Standards included in the National Quality Framework (Pg 12) for examples)

Please list the qualifications and professional memberships of senior staff:*

What is your business name:*

What is your ABN:*

Are you listed with the Australian Charities and Not-for-profits Commission (ACNC)?*

Yes
No

Membership Fee

Your membership fee supports VAADA's work

Select fee based on your Organisation/Program income*

Organisation/Program income refers to all money your Organisation receives for drug and alcohol program activity, including federal, state, philanthropic or private income.

Less than $1 million - $250.00 (incl. GST)
$1 - 3 million - $500.00 (incl. GST)
$5 - 10 million - $1000.00 (incl. GST)
Over &10 million - $1500.00 (incl.GST)

Your Details

The organisation contact name entered below will be the organisational nominee who holds voting rights on behalf of the organisation.

Name*

First Last

Job Title*

Address*

Street Address Address Line 2 Suburb State Post Code

Email*

Phone*

Fax

Terms and Conditions*

I have read and agreed with VAADA's vision, purpose and guiding principles

CAPTCHA

Membership Process

Your application goes before the VAADA Board to be approved at its bi-monthly meeting. Once approved a tax invoice will be issued for your membership fee and a Member Kit will be sent to you

Name

This field is for validation purposes and should be left unchanged.

VAADA Organisation Membership Application Form

Please read the following information prior to completing the application form

Our Vision

Our Purpose

Guiding Principles

Membership Process

Membership Application - Organisational Membership

Your Organisation

Membership Fee

Your Details

Membership Process

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