MHCN Advocacy Network Membership - Organisation

Consent and Preferences

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* 1. Do you consent for MHCN to store details you provide in this membership form in a confidential database accessed only by authorised staff of MHCN?

Yes

No - discontinue application

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* 2. Please enter the following

First Name

Last Name

Organisation/Business Name

Organisation/Business Postal Code

What is your role at your organisation/business?

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* 3. I would like to sign up to the Mental Health Carer Advocacy Network so that I can (check all that apply):

Receive MHCAN resources (newsletter, member updates)

Be informed about mental health carer and/or consumer issues from MHCN

Help to inform others about mental health carers and/or consumer issues

Be informed about mental health and services for priority populations (LGBTIQA+, First nations, CALD, Disability, People under 30)

Help to inform others about mental health and services for priority populations (LGBTIQA+, First nations, CALD, Disability, People under 30)

Engage carers through MHCN for my organisation's work (e.g. consultations, research etc)

Advertise my organisation's work to MHCN and Network members (e.g. events, training, research, consultations etc)

Be contacted about lived experience training and information resources hosted by MHCN

Be involved in producing resources on mental health topics and services (e.g. standards and policy, recovery, AoD, suicide prevention, forensics, inpatient and emergency care, tribunals)

Discuss partnerships or collaborations with MHCN on mental health issues, training, policy, and/or research.

Other (please specify)

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* 4. I want to be contacted by MHCN via (please select one only):

Phone (Landline)

Phone (Mobile)

Mail (Business Address or PO Box)