Full Membership

To become a Full Member you must be a woman, feminine identifying or non-binary person who:

• identifies as having a disability
• is aged 15 years or above
• is living in Australia.

The application form is available in the following formats:

• A PDF with fillable form fields (.pdf)
• A fully editable word document form (.docx)
• An adapted easy-read word document form (.docx)
• An online form (available below)

For users of any of the three available PDF or word document forms, please save and email or post your completed form to the address listed on our contact page.

Apply for full membership:

First Name:* First Name Required

Last Name:* Last Name Required

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Gender (select all that apply): Gender (select all that apply) is not valid

Woman Feminine-identifying Non-binary Other

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I am a woman, non-binary or gender diverse person with a disability I am a professional working in this or a related field I am a parent, carer or family member of a woman/girl with disability None of the above

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If you are a person with a disability, how would you best describe your disability? (select all that apply): If you are a person with a disability, how would you best describe your disability? (select all that apply) is not valid

Cognitive/Intellectual disability Neurodivergent Psychosocial disability/Mental illness Physical disability Chronic illness or medical condition Blind or vision impaired D/deaf or hard of hearing Prefer not to say None of the above

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Aboriginal and/or Torres Strait Islander Culturally, Ethnically, Religiously and Linguistically Diverse Lesbian, Gay, Bisexual, Transgender, Intersex, Queer and/or Asexual (LGBTIQA+) Living in a rural, regional or remote community Migrant or Refugee Living/have previously lived on a temporary visa Living in poverty Have experience of foster, kinship or residential care Have experience of criminalisation Have experience living in an institutional setting (e.g., a disability group home or aged care facility) Have experience in the sex work industry Victim-survivor of gender-based violence Prefer not to say None of the above

Would you like to tell us anything else?: Would you like to tell us anything else? is not valid

Would you be interested in representing WWDA at forums, events, or being contacted for specific consultations?

Would you like to receive WWDA’s emails?

Do you agree to WWDA's aim and objectives?*

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