Association Membership Form

In order to be nominated for a position on the Board of Management, you must first apply to become a member of the Wyong Neighbourhoood Centre Inc. Association.

Please fill out this form to become a member.

You can pay your membership fee through Paypal or opt to be sent an invoice for membership fees after your application for membership is approved.

APPLICATION FOR ASSOCIATION MEMBERSHIP

1. Family name

2. Given name

3. Other given name (middle name etc.)

4. Other names you have previously been known by (maiden name etc.)

5. Home address

6. Postal address

7. Date of birth

Month

Day

Year

8. Gender

Man

Woman

Non-binary

Prefer not to say

9. Contact number

10. Alternative contact number

11. Email address

12. Occupation

13. Applying for membership

I hereby apply to become a member of the Wyong Neighbourhood Centre Incorporated association.

In the event of my admission as a member, I agree to be bound by the constitution of the association for the time being in force.

14. Payment of membership fees

Membership Fee for Waged MembersA$10

Discounted Membership Fee for Unwaged MembersA$6

15. Do you intend to nominate for a position on the Board of Management?

Yes

If you know someone else on the board or who is a current WNCI Association Member, please provide their name and email address below.

ACNC RESPONSIBLE PERSONS DECLARATION

16. Declaration

I am not disqualified from managing a corporation, within the meaning of the Corporations Act 2001 (Cth); and

I have not been disqualified by the Australian Charities and Not-for-profits Commissioner at any time during the previous year

While I am a responsible person for WNCI, I agree to notify this charity as soon as possible if I do become disqualified from managing a corporation within the meaning of the Corporations Act 2001, or am disqualified by the ACNC. Responsible People are the members of a charity’s governing body who share responsibility for the governance of the charity.

TELL US A BIT ABOUT YOURSELF

Previous board or committee experience

What has drawn you to be interested in a position on the Board of Management

What special skills/interests would you bring to the Wyong Neighbourhood Centre Board of Management?