Associate Member Application Associate Membership of ACOSS is available for state, regional or community based organisations and individuals with an interest in promoting social welfare. Associate Membership is also offered to any organisations that are not eligible to become a National Member of ACOSS. Staff of Associate Members may receive the following: ACOSS Daily Bulletin Opportunities to participate in member-only briefings on key policy issues Free advertising for your jobs, events or training on the ACOSS website Invitations and discounts to special events ACOSS CEO Updates, major campaign updates and media releases emailed to you To become a member of ACOSS please fill in the below form. Your application will be reviewed to confirm your organisation’s eligibility for the Associate Member category. Should you be eligible, an invoice will be issued to you, with your membership activated on payment of your membership fee. If you have any questions, please contact us. For information on how the annual income of members is determined, see the ACOSS Membership Income Assessment Guidelines. TierAnnual Income ThresholdAnnual Associate Member Fee Tier 1Under $100,000$30 Tier 2$100,000 - $250,000$59 Tier 3$250,000 - $500,000$90 Tier 4$500,000 - $1m$161 Tier 5$1m - $2m$290 Tier 6$2m - $4m$544 Tier 7$4m - $7m$942 Tier 8$7m - $11m$1,396 Tier 9$11m - $16m$2,540 Tier 10$16m - $100m$3,545 Tier 11Over $100m$4,432 About your OrganisationOrganisation Name(Required)Street Address(Required)Supplemental AddressCity(Required)State(Required)Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaPostcode(Required)Annual Membership Income Tier and Fee(Required)Under $100,000 Income Tier 1 - $30.00$100,000 - $250,000 Income Tier 2 - $59.00$250,000 - $500,000 Income Tier 3 - $90.00$500,000 - $1m Income Tier 4 - $161.00$1m - $2m Income Tier 5 - $290.00$2m - $4m Income Tier 6 - $544.00$4m - $7m Income Tier 7 - $942.00$7m - $11m Income Tier 8 - $1,396.00$11m - $16m Income Tier 9 - $2,540.00$16m - $100m Income Tier 10 - $3,545.00Over $100m Income Tier 11 - $4,432.00For information on how the annual income of members is determined, see the ACOSS Membership Income Assessment Guidelines.Website Purpose of Organisation(Required)Please provide a brief description (no more than 250 words) of the purpose and activities of your organisation.You may like to answer the following in your description: Does your organisation represent or engage in advocacy for a particular group of people? Does your organisation focus on service provision, advocacy or a combination of the two? What are the priority areas of work for your organisation over the next few years?Number of FTE Staff(Required) 1-5 6-20 21-50 51-100 101+ Organisation Type Peak body Community service organisation Consumer group Trade union Other Application ContactWe need your contact details to update you on the progress of your organisation's application.Name(Required) First Last Position at Organisation(Required)Email(Required) Enter Email Confirm Email Phone(Required)