I certify that I meet the eligibility requirements for Membership of First Nations Media Australia outlined here. In applying for membership of First Nations Media Australia, I declare that I agree with the Objects of First Nations Media Australia and that its representatives will abide by the membership policies set out on the First Nations Media Australia website at https://firstnationsmedia.org.au/about/membership. I understand that: * This form must be completed by someone with authority to sign documents on behalf of an organisation, or an individual. Completing your name and date on this form will constitute as a digital signature for the purposes of membership application/renewal. * That the First Nations Media Australia Board holds the final decision regarding membership approval, eligibility and renewal. I understand that the annual fee for Individual membership is $27.50 inc GST. If your membership is rejected by the First Nations Media Australia Board you will receive a full refund. By ticketing this box you agree to the above * Yes, I agree Membership Information Please review and select the type of membership you would like to renew or apply for. Reminder: this form is for individual memberships. If you would like to sign up or renew an organisation, click here. Associate membership An Aboriginal and Torres Strait Islander individual working in the Aboriginal and Torres Strait Islander media industry (not-for-profit or other). Affiliate membership A Non-Aboriginal and Torres Strait Islander individual working in the Aboriginal and Torres Strait Islander not-for-profit broadcasting and media industry. Friend of First Nations Media Australia membership An Individual not eligible for Associate or Affiliate membership supporting the goals of the not-for-profit Aboriginal and Torres Strait Islander broadcasting and media sector. Select type of membership you would like to apply for * - Select -Individual - Associate membership. $27.50 inc GSTIndividual - Affiliate membership. $27.50 inc GSTIndividual - Friend of First Nations Media Australia membership. $27.50 inc GST Please explain how your work aligns with one or more of the following areas * Support the preservation and maintenance of Aboriginal and Torres Islander cultures and languages. Advocate on behalf of Aboriginal and Torres Strait Islander peoples in relation to their needs and interests in media and communications, including supporting strong employment, education and health outcomes. Use media and communications to enhance opportunities for self and community advancement. Promote the inclusion of Aboriginal and Torres Strait Islander peoples in the digital economy, through access to appropriate communications technologies and services. Support the production of media tools, content, programming and services in Aboriginal and Torres Strait Islander communities that leads to improved enjoyment of life and betterment of circumstances. Facilitate greater respect for and recognition of Aboriginal and Torres Strait Islander cultures and traditions within the broader Australian community, through the promotion of the activities, organisations, media products and people working within the Aboriginal and Torres Strait media sector. Promote media and communications as an essential service to remote Aboriginal and Torres Strait Islander communities. (Max 500 words). Membership History Are you a first time membership applicant, or renewing? * - Select -Renewing MembershipFirst time membership applicant Please provide a description of your interest in the Aboriginal and Torres Strait Islander broadcasting and media industry. * Your Information First Name * Last Name * Current Employer * Job Title * Are you an Aboriginal and/or Torres Strait Islander * - Select -YesNo Email * Address Street Address * City * Postal Code * State/Province * - Select -Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Phone Number * Postal Address (If different to address) Street Address City Postal Code State/Province - None -Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Please provide your signature below. Signature Clear Signature Signer Name * Next Page >
