Community Organisation Membership Form

Legal Name of Community Organisation:

Address of Community Organisation:

Person 1:

Name of Contact Person 1:

Phone:

Email:

Address:

Person 2:

Name of Contact Person 2:

Phone:

Email:

Address:

Person 3:

Name of Contact Person 3:

Phone:

Email:

Address:

Checklist

Is your organisation led by a resettled community background and serving forced migrants and migrants?
YESNO

Is your organisation a New Zealand based Incorporated Society, Charity or Trust?
YESNO

Have you submitted a letter of interest in joining ARCC for membership?
YESNO

Have you nominated 3 representatives from your organisation?
YESNO