DVNSW Organisational Membership Form - DVNSW

1. Type of Application

If you are unsure about what category you fall into please go to our membership page on our website to read further information. Alternatively, you can give us a call on 02 9698 9777.

Is this a new member application or are you renewing your current membership?*

This is a new application to become a member of DVNSW
I am renewing my membership to DVNSW

My organisation is applying to be a*

Full Member
Associate Member
I'm not sure

2. Your organisation

What's your organisation's name?*

What type of service do you identify as?*

What's your organisation's main phone number?

Website

Why does your organisation wish to become a member of DVNSW?*

3. Contact Details

We need a primary and secondary contact to put on our database. We'd recommend this be the CEO and Finance Officer. We'll be in touch with you directly to add further staff onto the database to receive our communications and updates.

Name (Primary Contact)

First Last

Position

Direct Line

Email Address*

Name (Secondary Contact)

First Last

Position

Direct Line

Email Address*

4. Your funding

Please choose what category your organisation's funding falls into. This is determine your membership costs. *When we say funding, it means the amount of money you receive annually.

Where does your organisations funding come from?*

Please choose what category your organisation circumstance falls into*

5. Communications and Marketing

Do you consent to your service being listed on the DVNSW website and publications? (no physical address will be shown)*

Yes
No

We send out regular newsletters to our members informing them of trainings, advocacy and policy changes, conferences and other information that we believe is useful to share. Do you consent to DVNSW sharing your organisations updates with our members if we receive them and we sit fit?*

Yes
No

6. Consents and Next Steps

To determine your organisations membership criteria, please click the most relevant to your organisations below:

My organisation uses the DVNSW Good Practice Guidelines to inform our practice
My organisation uses the Our Watch Change the Story framework to inform our practice
My organisation knows about the DVNSW Good Practice Guidelines but we don't necessarily work with it all of the time
My organisation knows about the Our Watch Change the Story Framework but we don't necessarily work with it all of the time

Terms and Conditions*

I agree on behalf of my organisation on the terms and conditions set out in the DVNSW constitution
The information I have provided above is a true reflection of how my organisation works and practices

Thank you for applying to become a DVNSW member. We will contact you within the next 48 hours to get further information from you. Please have details regarding your organisation available and any staff information that you’d like to add on to your membership.