CoMHWA Membership Application Form

All membership applications are subject to Board approval. Applicants will be advised of the outcome thereafter.

Question Title

* 1. Select your membership category:

Individual members (free, lifetime membership) - any individual that identifies as having a lived experience of mental health issues

Associate members (free, lifetime membership - voluntary $30 contribution welcome) - any individual that supports CoMHWA's objectives and does not have a lived experience of mental health issues (no voting rights)

Consumer Group member (free, lifetime membership - voluntary $10 contribution welcome) - any group with a substantial lived experience committee, e.g. CAG's, who support CoMHWA's objectives

Associate Organisation ($100 annual renewal, to be invoiced) - any organisation that support CoMHWA's objectives (no voting rights)

Question Title

* 2. Enter your contact details:

Full Name (mandatory) *

Organisation (if relevant)

Postal Address *

Email Address (mandatory) *

Phone Number *

Question Title

* 3. Are you over 16?

Yes

If under 16, please provide your date of birth:

Question Title

* 4. How did you find out about CoMHWA?

Referral

Internet

Word of mouth

Other (please specify)

Question Title

* 5. Mandatory check box:

I agree to abide by the Consumers of Mental Health Constitution Rules, Objectives, Principles and Values.