Apply for membership NameThis field is for validation purposes and should be left unchanged.First Name(Required)Last Name(Required)Please enter your last name so we can match your preferences to your contact record.Phone(Required)Personal email(Required)Please enter your personal email so we can match your preferences to your contact record. Address(Required) Street Address Suburb Post Code I am 18 years old or older(Required) Yes No Unfortunately, we will not be able to progress with your application. You need to be 18 years or older to become a member of BEING – Mental Health Consumers.In what year were you born?(Required)I am a resident of (or work in) New South Wales(Required) Yes No Unfortunately, we will not be able to progress with your application. You need to live or work in New South Wales to become a member of BEING – Mental Health Consumers.I have (or have had) personal lived experience of mental health issues(Required) Yes No Unfortunately, we will not be able to progress with your application. You need to have (or have had) personal lived experience of mental health issues to become a member of BEING – Mental Health Consumers.Which of the following do you identify with? (tick all that apply.)Optional – this information helps us understand the diversity of our membership and improve how we support and include diverse lived-experience communities. This information is confidential and reported only in de-identified, aggregated form Aboriginal and/or Torres Strait Islander Person from a culturally and racially diverse background Person with disability Trans or gender diverse LGBTQIA+ Neurodivergent Prefer not to say None of the above I have read BEING's Constitution and support the purpose of BEING's work (including the objects in clause 6.1 of BEING's Constitution.)(Required)Read Constitution Here Yes No You need to have read BEING's Constitution and support the purpose of BEING's work (including the objects in clause 6.1 of BEING's Constitution) to become a member of BEING – Mental Health Consumers.I have read BEING's Code of Conduct and I agree to be bound by it(Required)Read Code of Conduct Here Yes No You need to have read BEING's Code of Conduct and agree to be bound by it to become a member of BEING – Mental Health Consumers.I have read BEING's Privacy Policy and agree to be bound by it.(Required)Read Privacy Policy Here Yes No You need to have read BEING's Privacy Policy and agree to be bound by it to become a member of BEING – Mental Health Consumers.I consent to joining "BEING CONNECTED", BEING's online community, with an anonymous profile. Yes No I give permission for BEING to contact me regarding my application and, if successful, my membership.(Required) Yes No We cannot progress with your application unless you agree to be contacted.I would like to subscribe to receive BEING's news and updates.(Required) Yes No Signature(Required)Sign this application using a stylus or your mouse.
