• Membership Application

  • Membership of VMIAC is regulated by VMIAC Rules and all members are expected to act in accordance with the VMIAC Code of Conduct.

    Please download and review the following documents prior to submitting a membership application:

    • VMIAC Rules (download)
    • VMIAC Code of Conduct (download)

    Privacy

    This web form requests personal information. All information you provide to VMIAC will be kept securely in accordance with the VMIAC Privacy Policy, the Privacy Act 1988 and the Health Records Act 2001.

    You own all data you provide to us. You are free to request or make changes to your data at any time. It is also your right to ask us to destroy all data you provide to us. You can make these changes to your data by contacting VMIAC at membership@vmiac.org.au or (03) 9380 3900.

    Completing this form

    This form takes about 10 minutes to complete.

    You can download a preview of this form here.

  • Section 1: Contact Information

    The following information is required for us to deliver member notices and communicate with you.

  • Guidance: E-mail

    Member notices and newsletters are sent via e-mail. Please provide an e-mail address that you can access permanently.

    Work e-mail addresses are not recommended as you may not be able to access your e-mail when you change employers.


  • Guidance: Address

    Members are required to provide VMIAC with a postal address per the Associations Incorporation Reform Act 2012.

    A PO Box is acceptable. If you are experiencing special circumstances (e.g. domestic violence), you may be eligible for free PO Box access. More information is available on the Australia Post website.

  • Section 2: Membership Information

    The following information is required for us to determine your eligibility for VMIAC membership.

  • Guidance: Date of Birth

    VMIAC requires members' date of birth for child safety reasons. If you do not wish to provide your full date of birth, you may enter "1 January" and your birth year.

  •  - -Pick a Date

  • More information on the differences between individual and associate membership is available on the VMIAC website at vmiac.org.au/vmiac-membership.

  • Member Declaration

    • I wish to become a member of VMIAC;
    • I support the purposes of VMIAC; and
    • I have read and agree to comply with VMIAC Rules and Code of Conduct.

  • Section 3: VMIAC Programs and Services

  • Section 4: Tell us more about yourself

    As the peak body for mental health consumers, VMIAC aims to represent the interests of all consumers, including those from communities that have experienced structural and systemic disadvantages within the mental health system. The information that you provide below will be used for program evaluation and outreach purposes.
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