SCoA Membership Application | Settlement Council of Australia

Name of organisation:*

Application type*

New Member
Renewing Member (most recent financial year)
Renewing Member (previous financial year)

Organisation Representative 1:*

First Last

Each Member Organisation is required under SCoA’s Constitution to nominate two representatives who become that Organisation’s delegates at official SCoA meetings. We suggest your organisation’s representatives are persons of suitable seniority within your organisation, with a high level of knowledge of the settlement sector and who are committed to contributing to SCoA from time to time where relevant.

Job Title:*

Email:*

Direct phone:*

Organisation Representative 2:

First Last

Job Title:

Email:

Direct phone:

By naming the above representatives, I signify agreement to receive SCoA’s correspondence via email and circulate to relevant staff within the organisation.*

Yes
No

Please list any other email addresses to whom you would like SCoA to send its newsletter and communications:

It is possible to nominate unlimited additional delegates to receive SCoA communications.

Details of CEO organisation (if not listed above):

CEO's email:

CEO's phone:

Organisation's postal address:*

Organisation's principal place of business (street address):

Organisation's Phone:*

Fax:

Organisation's Email:*

Organisation Website:*

Organisation's ABN:*

Key settlement services - Please tick accordingly any of the key settlement services covered by your organisation:

Case Management
Education and Information
Events
Advocacy
Others

Please briefly describe the settlement services or related services your organisation provides:

Location of Services - Please tick accordingly the location of settlement services your organisation provides.

Metropolitan Area
Regional Area

National Settlement Services Outcomes Standards (NSSOS) - Please tick accordingly those that apply to your organisation's settlement services towards SCoA's NSSOS:

Education and Training
Employment
Health and well being
Languages Services
Transport
Civic Participation
Family Social Support
Housing
Justice

Settlement Services and Support Services Funding - Please tick accordingly settlement services funding that applies to your organisation:

Please provide a brief overview of any funding your organisation currently receives.(Please state the funding type, and if your service receives federal and/or state government funding)

Please describe the way your organisation is governed and how members of the community(ies) you work with are involved in the decision-making of the organisation:

Type of Membership*

Organisation's Income*

Membership fees are determined by organisation's income. Membership fees can be viewed in Become a Member page.

State/Territory of Registration:*

I confirm that the organisation’s head office is in that State/ Territory.*

Yes

I confirm that the organisation meets SCoA eligibility for the member level indicated above (see SCoA website for more details).*

Yes

Member organisations are listed on the SCoA website. Do you agree to have your organisation listed on the SCoA website?*

Yes
No