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GYMHA MEMBERSHIP APPLICATION FORM
Please kindly fill out the relevant section as they apply to you
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Date of Birth
*
Address
*
Email
*
Gender
*
Male
Female
Other
Phone Number
*
Marital Status
*
Married
Never Married
Divorced
Engaged
Military Service
Widow/Widower
Scholar
University Student
Please indicate your core profession by checking the below boxes
*
Social
Cultural
Welfare
Community
Women
Youth
Highest Level of Education
Secondary School
Diploma
Undergraduate Degree
Postgraduate Degree
Other
Please specify
Are you currently studying?
Yes
No
Specify institution and field of study
Current Occupation (if applicable)
Do you want to volunteer with GYMHA?
Yes
No
Briefly explain your motivation to join and what you hope to contribute
Have you volunteered with any mental health organizations before?
Yes
No
Please specify the organization(s) and your role(s)
Preferred Area(s) of Volunteering
Mental Health Advocacy
Counseling and Support
Graphic Design
Social Media Management
Event Planning
Fundraising
Administrative Support
Research and Documentation
Others
Other (please specify)
Availability (Days)
Select
1
2
3
4
5
Hours Available per Week
Duration of Commitment
Comments or Questions
ACKNOLEDGEMENT
*
Sign
I acknowledge that prior to signing this application I have read and agreed with the constitution and rules of the GYMHA. I also acknowledge that I am in agreement with the statement of purposes attached to it. In the event of admission to the Association
Instructions
Submit
CATEGORY OF MEMBERSHIP
ORDINARY MEMBERSHIP:
An Organization whose primary objective is either Mental Health/Humanitarian and whose aims and activities are consistent with the statement of purpose of GYMHA
ASSOCIATE MEMBERSHIP:
An Organization with an interest in Mental Health issues (but this is not being their primary focus) and whose aims and activities are consistent with the statement of purpose of GYMHA
INDIVIDUAL MEMBERSHIP:
Individuals who abide with GYMHA statement of purpose
*PLEASE NOTE:
In accordance with the GYMHA constitution, associate and individual members do not have voting rights. The annual membership fees for ordinary, associate and individual members shall be determined from time to time.
* * * PLEASE NOTE : DO NOT PROVIDE PAYMENT AT THIS TIME * * *
Notification of payment ($10.00 p.a) options will be issued to approved applicants once their membership has been formally ratified by the GYMHA Board.
I acknowledge that prior to signing this application I have read and agreed with the constitution and rules of the GYMHA. I also acknowledge that I am in agreement with the statement of purposes attached to it. In the event of admission to the Association
Instructions
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