Online Membership Form Name *FirstLastAge (optional)Email *Centrelink payment you are currently receiving (if applicable; optional): *Best way to contact youEmailPhoneOther (please give details below)Other way of contacting youContact detailsWhat issues are you interested in ?Poverty, raising the level of Centrelink paymentsFighting Income ManagementFighting Work For The DoleSingle Parents, getting sole parents back onto Parenting Payment SingleDisability and PovertyUnemployment Older Workers and Age PensionersAboriginal/First Nations issuesJob Networks/Employment Service ProvidersRefugees and PovertyOther (please write)Which of these things if any, are you most interested in? (choose one or two)What kinds of activities are you interested in? (does not include everything we do or will do)Fliering/Letterboxing, speaking to strangers about poverty and welfareAdministrative, policy or internal organisational workCenterlink or job agency advocacyHelping organise community lunches/meetings/picnicsOnline/Social Media activities, i.e., Facebook, Twitter, website, helping with the e-mailing listResearching/Writing fliers, reports, and other documentsHelping with catering for eventsPublic SpeakingInterviewing people on low incomes, collecting stories and experiencesArts/Crafts, i.e., helping to make banners, signs, props for stuntsSpeaking with politicians/media/NGOsEducational/Mythbusting workTalking to the mediaWhat kinds of special skills or equipment do you possess?Can drive/own carGraphics, can design fliers/postersWebsite maintenanceResearching/WritingAdvocacy, lots of experience negotiating with Centrelink, Job Networks, utility companies, etc.MultilingualCan do large amounts of printing (black-and-white or colour)Own cameraOwn sound/musical equipment, i.e., instruments, microphones, speakersCan perform/write music, singHave worked in the community/welfare sector (please give details below)Other (please give details below)Other skills or equipmentIs there anything you would like to add that is not in the above boxes?PhoneSubmit
