Landcare Groups: Membership Application Form

Landcare Groups: Membership Application

Please use this form to apply for or renew (current members only) your membership and insurance with Landcare NSW as a Landcare Group.
Thank you for your interest in becoming/remaining a member of Landcare NSW!

There are three main steps you will have to complete as part of this registration (or renewal) process:
1. Please complete this form to apply for membership for the period 1 July 2025 to 30 June 2026.
2. If required, please provide any further supporting information as requested by Landcare NSW.
3. Pay your invoice for membership and insurance.
PART I - GROUP DETAILS
We are...*

An existing member group looking to renew (your application will be automatically approved unless your group's circumstances have changed significantly)A new member group looking to sign up
Group Name*
Incorporation Number
If applicable
Date of Incorporation

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState

Postcode
Does your group have an ABN?*

YesNo
What is your group's ABN?
Is your group an endorsed Deductible Gift Recipient (DGR)?*

YesNo
Please select the NSW Region that your group operates within. If it additionally or solely operates outside of NSW, please select Other and advise where.

Central TablelandsCentral WestGreater SydneyHunterMurrayNorth CoastNorth WestNorthern TablelandsRiverinaSouth EastWesternStatewide (NSW)Other
If 'Other', please specify.
Does your group have a website and/or social media pages you can share with us? This will allow us to promote your content on the Landcare NSW socials.*

YesNo
Website
e.g., https://landcarensw.org.au/
Facebook
e.g., https://www.facebook.com/LandcareNSW/
Instagram
e.g., https://www.instagram.com/landcare_nsw/ or @landcare_nsw
X
e.g., https://x.com/LandcareNSW
LinkedIn
e.g., https://au.linkedin.com/company/landcare-nsw
Please provide contact details for the primary contact person within your group.

Note, this will be the main point of contact for all important notices, including invoices, invitations to our AGM, our Connections newsletter, invitations for grants and other funding opportunities.

It is the responsibility of this nominated primary contact to cascade and forward on important information and announcements as appropriate.
Primary Contact Name*

First NameLast Name
Position in the organisation (e.g., Treasurer)*
Primary Contact Phone Number*
Please enter a valid mobile number.
Primary Contact Email Address*
example@example.com
Secondary Contact Name

First NameLast Name
Secondary Contact Email Address
example@example.com
Secondary Contact Phone Number
Select what best describes your organisation*

Landcare group that DOES employ staffLandcare group that DOES NOT employ staff
How many individual members (if applicable) does your group currently have?*
If unsure, please provide an approximate number.
Maintaining a member list

Please note that you have a responsibility to maintain an up-to-date list of your current members.

If you do not currently have a member register, please contact us for support and guidance. A template can be found here.

Who is a member?

The legal definition of a member "of a not-for-profit organisation is someone who has satisfied the requirements of formal membership of the organisation".

Your group's Constitution will include further specific formal definitions of who qualifies as a member.
Does your group have member groups (that are separate legal entities)?*

YesNo
Please list all your sub-groups (i.e., groups that are a member with your group, but remain their own legal entity). If known, include the number of individual members each group has.*
A sub-committee is defined in according to NSW Associations Law & Regulation.

It is governed and auspiced by the Committee of an incorporated association or other legal entity. A sub-committee is not a legal entity in its own right, and cannot hold an ABN or enter into a contract.

For sub-committees that identify as local Landcare Groups and are recognised as a Landcare Group by a Landcare group name/logo, the following applies:
- They are eligible for membership with Landcare NSW
- A $50 membership fee applies per sub-committee listed on a Landcare Group’s membership application
- Are insured under its “Parent” Landcare Group provided that this group is an insured member of Landcare NSW
Does your group have sub-committees (that are governed by your group and are NOT separate legal entities)?*

YesNo
Please list all your sub-committees (i.e., groups that are governed by your group and are not a separate legal entity). *
Complete this form for each sub-committee listed above: https://form.jotform.com/251658730628868

Please note, without complete information about each sub-committee we will not be able to appropriately provide insurance cover, and enable membership rights.
Please add any further comments to your responses above as required.
PART II - REPRESENTATIVE DETAILS
As a member group, you must appoint a Representative, who can represent your group at Landcare NSW's AGM, and vote on behalf of your group (if applicable).
- Each Landcare Member Group must appoint one individual as its Representative by notice to the Secretary (which may be given by completing any online form approved by the Board). The appointment may be a standing one.
- A Representative may exercise any and all powers of the Landcare Member Group unless the appointment specifies otherwise.
- The appointment may be made by reference to a volunteer position held.
- An employee may not be appointed a member representative (this does not apply to group members defined under 5.3 (a) (C) in our constitution - e.g., external organisations that perform activities similar to those of a Landcare Group).
If the Representative of your group is different to your Primary Contact, please provide their details below.
Is your Representative the same as your Primary Contact?*

YesNo
Representative Name

Rep. First NameRep. Last Name
Representative Email
example@example.com
Representative's Position in Group
E.g., Chair, Treasurer
Would you like to nominate an Alternate Representative (e.g., in case of absence of Representative)?*

YesNo
Alternate Representative Name

Alt. Rep. First NameAlt. Rep. Last Name
Alt. Rep. Email
example@example.com
Alt. Rep. Position in Group
E.g., Vice Chair
PART III - FINANCIALS & TYPE OF MEMBERSHIP
Landcare NSW membership & insurance fees are determined based on your group's expenditure during the 12 months immediately prior to your application.

E.g., if you apply for membership in June, we will ask for your expenditure for the period May-May.

Expenditure is your Group/Entity's expenses (what you have spent) for the immediate past 12 months at the time of applying for membership minus any monies given to another LNSW Member Group.

Examples include:
- Program Costs: Expenses directly related to delivering your mission, such as community services, educational programs and initiatives, or environmental conservation and revegetation efforts.
- Staff Salaries and Benefits: Wages for employees, including health benefits, superannuation, and training to ensure they can effectively support the group.
- Administrative Costs: Office rent, utilities, insurance, legal fees, and technology expenses (software, computers, website hosting).
- Fundraising Costs: Marketing, event planning, donor outreach, and grant writing efforts to secure funding and sustain operations.
- Volunteer Support: Costs associated with recruiting, training, and supporting volunteers, such as background checks, uniforms, and travel reimbursements.
- Outreach and Advocacy: Campaigns, workshops, or public awareness initiatives that align with your mission.
- Equipment and Supplies: Any materials needed to run programs, including medical supplies, educational resources, or operational tools.
The following fee structure applies for the FY2025-26 (fees are exclusive of GST):
The Landcare NSW insurance program for Landcare Groups includes three standard insurance policies:
- Volunteer Workers Personal Accident Insurance
- Public and Products Liability Insurance
- Protector / Association Liability Insurance
Once your application is approved, the primary contact will be emailed an invoice for the group's membership and insurance fees (if applicable), followed by a Certificate of Currency confirming your insurance cover once the invoice has been paid (if applicable).
Please indicate what type of membership you are interested in:*

Membership ONLYMembership AND Insurance
The expenditure to be used for fee calculation is for the 12-month period ending on...*

DayMonthYear
Date
Please indicate your expenditure during the 12-month period ending at the above stated date. E.g., if you have entered 30 April 2025 above, please provide your group's total expenditure during the period 1 May 2024 - 30 April 2025.*

$0 - $999$1,000 - $9,999$10,000 - $29,999$30,000 - $99,999$100,000 - $999,999>$1,000,000
PART IV - DECLARATIONS
Please tick the following to confirm your understanding and agreement:*

The group named in this application wishes to continue to be (if renewing) or become a member of Landcare NSW for the financial year 2025/2026.The group agrees to comply with the Constitution of Landcare NSW.The details provided in this application are true and correct at the date of submission, and the applicant group will inform Landcare NSW of any change in circumstances or group details.The group agrees to notify Landcare NSW in writing of any proceedings (criminal or civil) or demands made against Committee Members or Officers of the organisation in their capacity as Committee Member or Officer, and if such proceedings or demands have been made in the past or are pending, the organisation has informed Landcare NSW or agrees to do so immediately.
The Landcare NSW Constitution can be accessed here.
REVIEW & SUBMIT
How did you hear about us?
Please provide more details about your referral:
Please provide more details:
The timeframe for approval varies and may take up to 30 days, depending on the Board's schedule for meetings and out-of-session resolutions. Ensuring all information supplied in this form is complete and correct will help to reduce processing delays and ensure your application can be considered as soon as possible.

When you are ready to submit, please enter your email and click 'Submit'. A copy of your application will be sent to this email address.

All membership applications will be considered by the Landcare NSW Board as soon as practicable after they are received.

Please contact our Memberships Team at memberships@landcarensw.org.au if you have any questions.
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Landcare Groups: Membership Application

PART I - GROUP DETAILS

PART II - REPRESENTATIVE DETAILS

PART III - FINANCIALS & TYPE OF MEMBERSHIP

PART IV - DECLARATIONS

REVIEW & SUBMIT