Become a member - Home Assist Community Services

Membership Application Form

Looking for a chance to give back to the Community?

Become a member of Home Assist Community Services and help support the Association that supports the community for just $2.00 for five years. Please complete the Membership Form below to get started. We look forward to having you on board.

Form Reference Number 15

Application Date *

First Name *

Surname *

Phone *

Mobile

Email *

I agree to be bound by the Constitution of Home Assist Community Services, its Policies and Procedures and the Code of Conduct, which must be signed and accompany this application for Home Assist Community Services membership. *

Nominated by

Proposed by

Signature

Seconded by

Signature

Home Assist Community Services will contact you on receipt of application to arrange a membership donation of $2.00 valid for 5 years.

Code of Conduct for Members Home Assist Community Services

This Code of Conduct has been developed for all Home Assist Community Services members. All members are asked to sign this code upon application for membership of Home Assist Community Services.

I agree:

to uphold the mission statement and values of Home Assist Community Services;
to observe all rules of Home Assist Community Services including those specified in the Constitution, the Associations Incorporation Act 1987 and any other set down by the Board of Directors or the membership of Home Assist Community Services from time to time;
to adhere to all policies and procedures set down in the Home Assist Community Services Policy and Procedures Manual;
not to act on Home Assist Community Services matters without the consent of the Board of Directors, including not interfering in the day to day operations of Home Assist Community Services;
to represent Home Assist Community Services. in a positive way;
not to discuss confidential issues with people outside of Home Assist Community Services, without the consent of the Board of Directors;
to follow any grievance procedures set down by the Board of Directors to try to resolve any conflicts with staff or members of Home Assist Community Services;
not to abuse, physically or verbally, staff or members of Home Assist Community Services.

I am aware that as a member of Home Assist Community Services, if I fail to abide by this Code of Conduct, I may be liable for expulsion from Home Assist Community Services under the rules of the Constitution. I am aware that my membership may be terminated for:

being convicted of an indictable offence;
failing to comply with the rules of the Constitution or this Code of Conduct;
having membership fees in arrears for a period exceeding 2 months from the date of the AGM;
conducting myself in a manner considered to be injurious or prejudicial to the character or interests of the association.

Full Name *

Signature of Member *

Date *

Witnessed by *

Signature of Witness *

133 Adelaide Street Maryborough 07/4123 2234

07 4123 2234

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Membership Application Form

Call Us Now 07 4123 2234

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Home Assist Community Services

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Non-Profit Organisation Established in 1999 - QBCC Builders Registration: 1109355 ABN: 82493405845
Home Assist Community Services 133 Adelaide Street Maryborough QLD4650 - Phone 07/4123 2234 Monday to Friday 9am until 3pm (message bank after hours)

07 4123 2234

Login

Membership Application Form

Call Us Now 07 4123 2234

Apply For Support

I need Help finding a form

Home Assist Community Services

- Work For Us -

Non-Profit Organisation Established in 1999 - QBCC Builders Registration: 1109355 ABN: 82493405845 Home Assist Community Services 133 Adelaide Street Maryborough QLD4650 - Phone 07/4123 2234 Monday to Friday 9am until 3pm (message bank after hours)

Non-Profit Organisation Established in 1999 - QBCC Builders Registration: 1109355 ABN: 82493405845
Home Assist Community Services 133 Adelaide Street Maryborough QLD4650 - Phone 07/4123 2234 Monday to Friday 9am until 3pm (message bank after hours)