Application for Membership | Interfaith Network (IFN)

Interfaith Network (IFN)
City of Greater Dandenong
Application for Membership

The Interfaith Network, City of Greater Dandenong welcomes your application for Membership.
Please review, complete, date and sign your application and email to administration@interfaithnetwork.org.au
For further information about IFN Membership please visit our website and, or contact our Executive Officer, Livia Carusi, via executive@interfaith.org.au

Title

Please specify your title

First Name

Surname

If applicable, what organisation do you primarily work for, volunteer with or serve within?

If applicable, what is your position in the nominated organisation?

Nominated Age Group

Do you identify as Aboriginal or Torres Strait Islander?

Yes
No
Rather not say

Which of the following best describes how you think of yourself?

Sharing this information is optional

Residential Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Worship, nominated Mailing

Is your Mailing Address different from your Residential Address?

Yes
No

Mailing Address

Address Line 1

City

State / Province / Region

Postal Code

Email Address

Telephone Number

Preferred Language Spoken

(This information will assist IFN in the production of resources in community languages)

Identified Faith

What is your primary place of Worship, Faith and, or Spritual Based Community?

IFN E-News:

IFN produces a monthly e-news publication which provides the latest news and insights about the Network. Do you wish to receive IFN e-news?

Yes
No

Please nominate your email address

The email address is the same as above
Use a different email address

Please provide your email address

I submit my application for Membership to the Interfaith Network of the City of Greater Dandenong.

In submitting my application for Membership, I agree to:

Support and adhere to the vision and values of the organization,
Support and adhere to the Interfaith Network Common Statement, as described on the IFN website,
Support and adhere to Membership policies and procedures as approved, from time to time, by the elected Executive Committee,
Provide consent for the collection, storage, and use of my information for the sole purpose of IFN activities, including receiving event invitations,
Provide consent to the use of my image by the Interfaith (IFN) Network, of the City of Greater Dandenong. Please click here to for a copy of the Membership Consent Release Form for the Use of Your Image. Please review, complete, sign and return to the IFN,
If my circumstances change, including my contact details, that I will contact the IFN within 14 business days and notify of my changes,
* If I volunteer for the IFN that I will provide a current Working with Children Check and National Police Check as part of the organization’s commitment to a child safe organisation, and
Promote and support IFN’s commitment to a child-safe organization and the promotion and protection of the rights of children and young people within our community.

How did you find out about the Interfaith Network?

Please specify how you found out about the Interfaith Network

Signature

Clear Signature

Date

Interfaith Network (IFN)City of Greater DandenongApplication for Membership

IFN E-News:

Interfaith Network (IFN)
City of Greater Dandenong
Application for Membership