Membership application form

Complete the application form below to become a member of the Centre for Australian Democracy.
Once complete, a member of our team will be in touch with you.

Click here if you are already a member and would like to renew your membership

Title

Name

First Name

Last Name

Post-nominals

Date of birth

YYYY

Contact number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency contact name

Emergency contact number

Computer access

Our work is conducted remotely/online. Do you have access to a computer that you can use to attend online meeting?

Please let us know if you have any special requirements to participate in your role as a member

Diversity

We welcome and encourage people from diverse backgrounds to join us. Are you or do you identify as any of the following? (Select all that apply)

Aboriginal and/or Torres Strait Islander

Person with a disability

Culturally and linguistically diverse (CALD)

LGBTQI+

Why would you like to become a member?

An alignment to our vision, purpose, values and principles is an important part of becoming a member. How do you feel these attitudes and values align with your own?

We are committed to ensuring the privacy of our members, volunteers and organisation. What is your understanding of the importance of privacy and confidentiality?

I have read the Centre for Australian Democracy Constitution and understand the roles and responsibilities of a member

Yes

Would you also like to volunteer with us?

How did you hear about us?

We don’t have membership fees to bypass financial circumstances being a barrier to involvement.
Any donation you can make, small or big, is greatly appreciated.

Donate now