Membership (associate)

Price:

Free

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Phone:* Phone is Required

Date of birth:* Date of birth is Required

Do you confirm that you identify with one or more of the following (We need to ask this question because it is required by WWDA’s constitution. We know these words may feel limiting and may not match how you describe your gender or identity. WWDA takes a broad and inclusive approach to gender, and we want this to reflect the diversity of peoples lived experience.):* Do you confirm that you identify with one or more of the following (We need to ask this question because it is required by WWDA’s constitution. We know these words may feel limiting and may not match how you describe your gender or identity. WWDA takes a broad and inclusive approach to gender, and we want this to reflect the diversity of peoples lived experience.) is Required

Woman Feminine-identifying Non-binary

Are you someone with trans or gender-diverse experience (meaning your gender identity may not align with your sex assigned at birth)? :* Are you someone with trans or gender-diverse experience (meaning your gender identity may not align with your sex assigned at birth)? is Required

Is there anything else about your gender identity you would like us to know? : Is there anything else about your gender identity you would like us to know? is not valid

Which one(s) best describes your sexual identity or sexual orientation? :* Which one(s) best describes your sexual identity or sexual orientation? is Required

Lesbian Gay Bisexual Heterosexual Asexual Queer Pansexual Not listed here Prefer not to say

Do you identify as being an Aboriginal and/or Torres Strait Islander?:* Do you identify as being an Aboriginal and/or Torres Strait Islander? is Required

Do you identify as coming from a culturally and linguistically diverse background?:* Do you identify as coming from a culturally and linguistically diverse background? is Required

Do you come from a migrant or refugee background?:* Do you come from a migrant or refugee background? is Required

Do you have experience living in a group residential setting (e.g., a disability group home or aged care facility):* Do you have experience living in a group residential setting (e.g., a disability group home or aged care facility) is Required

Do you live with one or more chronic health conditions (We know disability is not just about a person’s body or diagnosis. It is also shaped by barriers in society. We know many people live with chronic health conditions that may result in disability or can compound their experience disability experiences eg: pain, energy and access to support. We ask these questions so our advocacy reflects this and supports your right to good health.) :* Do you live with one or more chronic health conditions (We know disability is not just about a person’s body or diagnosis. It is also shaped by barriers in society. We know many people live with chronic health conditions that may result in disability or can compound their experience disability experiences eg: pain, energy and access to support. We ask these questions so our advocacy reflects this and supports your right to good health.) is Required

Is there anything else about your disability experience you would like us to know? : Is there anything else about your disability experience you would like us to know? is not valid

Are you a participant in one or more of the following:* Are you a participant in one or more of the following is Required

NDIS Aged Care Receiving disability support pension (DSP) Not listed here Prefer not to say

Do you have ongoing caring responsibilities? (this could include community or kinship models of care) :* Do you have ongoing caring responsibilities? (this could include community or kinship models of care) is Required

Yes No Prefer not to say

If yes, do you have any of the following caring responsibilities:: If yes, do you have any of the following caring responsibilities: is not valid

Caring for an ageing parent Caring for a child as a parent or guardian Caring for a relative and/or partner Caring for someone with a disability Not listed here

Do you agree to WWDA contacting you about your experiences to support our advocacy work for example through media interviews, policy roundtables, consultations or other opportunities to share your views? :* Do you agree to WWDA contacting you about your experiences to support our advocacy work for example through media interviews, policy roundtables, consultations or other opportunities to share your views? is Required

Membership declaration: WWDA understands that some members may complete this form themselves, while others may do so with assistance from a carer, support person or trusted representative. Both approaches are recognised and accepted. I understand the conditions of WWDA’s membership requirements. *

I confirm that I am eligible to join WWDA. *

I agree to WWDA’s privacy policy *

I consent to my name and membership details being included on WWDA’s membership register. *

I consent to receiving direct marketing communications and information from WWDA.

I confirm that I align with the mission and values of WWDA, agree to abide by the constitution, and wish to join as a Full Member. *

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