Organisation - Full Membership

WANADA Membership Form for Organisations

Members gain access to a range of services provided by WANADA, as well as the opportunity to support a better future for alcohol and other drug services and consumers in Western Australia.

Agency Details

Agency name(Required)

Postal address(Required)

Street address(Required)

Phone(Required)

Email(Required)

Website

Finance Contact

Finance Contact Name(Required)

Finance Contact Email(Required)

Service Profile

Please indicate the services offered by your agency. Check all that apply

Service Profile

Aboriginal specific service

Mental health

Advocacy

Non-residential treatment

Alcohol and other drug primary service

Outreach

Blood borne viruses

Prevention

Community alcohol and drug service

Regional

Counselling

Research

Detoxification

Residential / therapeutic community

Drop-in support

Sobering up centre

Family service

Supported accommodation

Health service

Needle and syringe program

Information, support, referral

Women’s specific service

Men’s specific services

Youth specific service

Please describe your organisation’s aims and guiding principles, including alignment with WANADA’s aim, purpose, and values(Required)

Please provide information on the services offered by your organisation, including alignment with evidence-based practice applied(Required)

Full Membership

Available to those legally constituted non-government and government organisations, or branches of legally constituted agencies, whose prime function is the delivery of services in alcohol and other drugs and who support the purpose and objects of WANADA.

Associate Membership

Available to all other legally constituted non-government and government agencies and individuals who support the purpose and objects of WANADA.

Membership fees

Full membership fees are calculated based on your agency’s annual gross income. If you are applying for an associate membership, we offer an incentivised rate to those agencies who hold a membership with another Western Australia peak body. This excludes for-profit and government organisations. Please note this below.

Member type

Please indicate if your agency’s prime function is the delivery of services in alcohol and other drugs.

Yes, our prime function is the delivery of services in alcohol and other drugs

Full Membership

Please indicate your annual gross income

Under $250,000 - $330 inc GST per year

$250,000 to $1,000,000 - $550 inc GST per year

Over $1,000,000 - $880 inc GST per year

Associate Membership

Organisation - $330 inc GST per year

Organisation - incentivised - $275 inc GST per year

Additional service subscription

Please indicate if you have additional sites other than your main office / site.

1 additional site - $220.00 inc GST

2 additional sites - $440.00 inc GST

3 additional sites - $660.00 inc GST

4 additional sites - $880.00 inc GST

5 additional sites - $1110.00 inc GST

Delegate details

Full members are entitled to appoint a delegate to represent it and vote at general meetings of WANADA. The delegate will receive formal communication regarding the AGM and will be subscribed to WANADA’s Member Update e-bulletin. Unless otherwise informed the appointed delegate will be the organisation’s Chief Executive Officer or equivalent.

Delegate Name(Required)

From 29 November 2022 onwards, alcohol and other drug treatment service providers will be required to be certified against an industry recognised quality standard as per the National Quality Framework for Drug and Alcohol Treatment Services, Department of Health, 2018.

Is your agency engaged in a formal quality improvement/certification program? Check one only

Quality improvement(Required)

Yes, with the Alcohol and other Drug and Human Services Standard (WANADA Standard)

Yes, with another provider

Please provide details(Required)

Have you gained certification(Required)

If you ticked ‘yes’ above, have you gained certification? Check one only

Yes

If you ticked ‘yes’ above, please provide your certification details.

Year certified(Required)

QI standard(Required)

Source of funding

Check all that apply

Source of funding(Required)

Mental Health Commission

Dept. of Health

Client contribution

WA Primary Health Alliance

Dept. of the Prime Minister and Cabinet

Private / Philanthropic

Dept. of Health

Dept. of Social Services

Dept. of Justice

Other Type

Other Funding(Required)

Statement

Statement(Required)

Please provide a brief statement about why you wish to become a member of WANADA.

Authorisation

Authorisation for WANADA membership application approved by your organisation’s executive. Applications for membership are submitted on a monthly basis to the board for approval. A tax invoice for membership fees will be issues on receipt and acceptance of your application.

Name(Required)

Position(Required)

Authorised Date(Required)

DD slash MM slash YYYY

Supporting Documentation

In order to assess your application we will require your agency’s Constitutional document or rules.

Please note, if your constitutional document or rules are published to a website, please provide the URL address link below or attach using the file upload option.

File Send Option(Required)

Website Link

File Upload

Website/URL

Constitutional document or rules

Max. file size: 50 MB.

WANADA collects information from our Members to maintain a register of Member’s names and postal address’ in line with the requirements of the Associations Incorporation Act 2015. WANADA also uses this information to update our communications lists to use when contacting members with sector related events and information. The information provided on this application will be used as your entry in the Green Book Directory of alcohol and other drug services and mental health services in Western Australia.

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Membership Application Form – Organisation

WANADA Membership Form for Organisations

Agency Details

Finance Contact

Service Profile

Full Membership

Associate Membership

Membership fees

Delegate details

Additional site details

Additional Site 1 Details

Additional Site 2 Details

Additional Site 3 Details

Additional Site 4 Details

Additional Site 5 Details

Quality improvement

Source of funding

Statement

Authorisation

Supporting Documentation