Acknowledgement of Country
ACTCOSS is committed to reconciliation, acknowledges the traditional custodians of the land, and pays respect to elders past and present.
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Raise the Rate for Good
How to Have Your Say
Join ACTCOSS
Membership
Join ACTCOSS
Our Members
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About
What is ACTCOSS?
Board
Staff
Careers
Contact us
News and Events
News and Media
Events and Training
Publications
Job Notices
eNotices
Gulanga Program
What is the Gulanga Program?
Support for Aboriginal and Torres Strait Islander Workers
Aboriginal and Torres Strait Islander Advocacy
Aboriginal & Torres Strait Islander Support and Resources
Social Justice Issues
ACT Election
Budget
Children, Young People and Families
Climate, Energy and Utilities
Community Sector
Disability
Federal Election
Gambling
Gender and Sexuality
Health
Housing, Planning and Transport
Human Rights
Justice
Migrants and Refugees
Poverty and Cost of Living
Community Sector Resources
Peer Networks
Capacity Building Resources
Cultural Awareness and Good Practice
Take Action
Raise the Rate for Good
How to Have Your Say
Join ACTCOSS
Membership
Join ACTCOSS
Our Members
Membership application form – Organisation
Authorised Officer
(Required)
To apply for membership on behalf of your organisation, you must be an authorised officer, e.g. President / Chair, Vice, Board Secretary, Chief Executive Officer or another authorised officer of your organisation.
I am an authorised officer of my organisation.
Organisation Contact Details
Organisation's Name
(Required)
ABN
(Required)
Acronym / Alternative Name
Postal Address Line 1
Postal Address Line 2
Suburb
State
(Required)
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
Phone
Email
(Required)
Website
Primary contact person
The primary contact person will be our first point of contact for any membership communications with your organisation, including all membership administration and invoicing.
First Name
(Required)
Last Name
(Required)
Job Title
(Required)
Email
(Required)
Phone
(Required)
CEO or Equivalent
Please list your organisation's CEO, Director or other executive here. If you are applying for membership on behalf of a national organisation or a branch of a national organisation, please list the most relevant executive officer or equivalent (e.g. the ACT branch manager).
First Name
(Required)
Last Name
(Required)
Job Title
(Required)
Email
(Required)
Phone
(Required)
Delegates
Organisation members may have up to two voting delegates. Each delegate has one vote at ACTCOSS general meetings and elections. Delegates are eligible to nominate for the ACTCOSS Board. We will email delegates about general meetings and elections.
Delegate 1
First Name
(Required)
Last Name
(Required)
Job Title
Email
(Required)
Phone
Delegate 2
First Name
(Required)
Last Name
(Required)
Job Title
Email
(Required)
Phone
Membership Fee
Please select your membership fee below based on your organisation's gross annual income. If your organisation is experiencing financial hardship, please let us know via
[email protected]
or call us on
02 6202 7200
to discuss an arrangement.
Fees are in Australian dollars and are GST inclusive.
$33 – Annual revenue, less than $10,000
$76 – Annual revenue, $10,000 - $50,000
$165 – Annual revenue, $50,000 - $100,000
$325 – Annual revenue, $100,000 - $500,000
$470 – Annual revenue, $500,000 - $750,000
$511 – Annual revenue, $750,000 - $1 million
$692 – Annual revenue, $1 million - $2.5 million
$852 – Annual revenue, $2.5 million - $5 million
$1,188 – Annual revenue, Over $5 million
What are your reasons for membership with ACTCOSS?
(Required)
Please select all that apply:
To support ACTCOSS and its vision and purpose
Member discounts on training and other services
Networking opportunities
Keeping informed about community sector news and activities
Involvement in ACTCOSS forums (e.g. Board, Budget forum, policy forums)
Input into advocacy positions and submissions
Opportunities to take action and advocate on social justice issues (e.g. Raise the Rate campaign)
Other
Other, please let us know
Core Business
(Required)
Please select the options that best describe your organisation's core business. This will help us tailor our communications and engagement with your organisation.
Aboriginal &/or Torres Strait Islander peoples
Advocacy, social action, community development
Alcohol & other drugs
Arts
Carers
Consumer voice
Disability services
Education
Employment services
Environment, climate change
Family & children's services
Financial hardship
Gambling
Health
Housing, homelessness
Human rights
Industrial &/or workforce issues
Justice, corrections, legal
LGBTIQA+
Men
Mental health
Multicultural, migrant services
Older people
Other
Peak or industry body
Self-help
Therapeutic services
Urban planning
Volunteers
Women
Young people
Other, please let us know
Is your organisation registered with the ACNC?
Yes
No
Organisation's name in our annual report?
Do we have permission to publish your organisation's name in our annual report?
Yes
No
Organisation's name and link on our website
Do we have permission to publish your organisation's name and link on our website?
Yes
No
Pursuing ACTCOSS's Objects
(Required)
To be eligible as a Member Organisation with ACTCOSS, an organisation must pursue one or more objects of ACTCOSS. Please
read ACTCOSS’s vision and objects
and check the box at the bottom if you comply.
My organisation pursues one or more objects of ACTCOSS.
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Privacy Policy
on our website.
