Membership Application

Thank you for your interest in joining Down Syndrome Victoria.

Membership is free and open to people with Down syndrome, families, carers, friends and supporters across Victoria.

By becoming a member, you'll gain access to information, resources, support and connections within a vibrant community of people with Down syndrome and their families. You'll also stay informed about events, programs and opportunities to get involved, while helping us strengthen our voice and continue advocating for a more inclusive community for people with Down syndrome.

We look forward to welcoming you to our community.

Membership type: which best describes you? *

Primary member contact information

First name *

Last name *

Date of birth

Contact number *

Email address *

Organisation *

Relationship to the person with Down syndrome

If 'Other' please specify

Please enter your address below *

Street address *

City/Suburb *

State *

Postcode *

Secondary contact information

First name

Last name

Date of birth

Contact number

Email address

Relationship to the person with Down syndrome

If 'Other' please specify

Person with Down syndrome contact information

First name *

Last name *

Date of birth *

Contact number

Email address

What is your gender?

Other family members living within the household

Please provide the name of other family members in your household and their relationship to the person with Down syndrome (e.g. John Brown, brother)

Business or Organisation contact information

Organisation name *

Contact name *

Position *

Email address *

Contact number *

Industry/sector

School or educational setting contact information

School name *

Primary contact name *

Position *

Email address *

Contact number *

School address *

Street address

City/Suburb *

State *

Postcode *

Details of student(s) with Down syndrome

Cultural background

Is Australia your country of birth?

Do you speak a language other than English at home?

What is the language spoken at home?

Do you require a translator?

Are you of Aboriginal or Torres Strait Islander origin?

Communication preferences

Staying connected: would you like to receive DSV updates, news and event information by email? *

YesNo

If other, please specify

Privacy Statement

Down Syndrome Victoria (DSV) collects personal information to manage your membership and provide information, services, and support to members and the DSV community.

We will only collect information that is reasonably necessary for these purposes and will use your personal information only for the purpose for which it was collected, or as required by law. DSV takes reasonable steps to protect your personal information from misuse, loss, unauthorised access, modification, or disclosure.

Your personal information will be stored securely and accessed only by authorised staff where necessary.

When your personal information is no longer required for the purpose for which it was collected, DSV will take reasonable steps to securely destroy or permanently de-identify the information in accordance with legal and record-keeping requirements.

For more information about how DSV manages personal information, please refer to DSV's Privacy Statement.

I have read and understood the Privacy Statement and consent to Down Syndrome Victoria collecting and using my personal information for membership and related DSV activities in accordance with its Privacy Statement and Policy and Procedure.
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