Membership Application

To apply for membership with ACHIA NSW, please complete the application form below.

APPLICANT DETAILS

Step 1 of 10

Organisation Name *

ABN *

Email *

Phone *

ELIGIBILITY CRITERIA

Step 2 of 10

To proceed with an ACHIA NSW Membership Application, please confirm your organisation meets the following eligibility requirements:

Is a NSW Aboriginal Community Housing Provider? *

Yes

No

Is a Not-for-profit organisation? *

Yes

No

Owns and/or Manages assets used for Aboriginal Community Housing in NSW? *

Yes

No

ORGANISATION DETAILS

Step 3 of 10

Organisation Address *

Suburb *

State *

Postcode *

Website

Indigenous Corporations Number (ICN)

Is your postal address the same as your residential address? *

Yes

No

What are the geographical operational boundaries of your organisation? *

PRIMARY CONTACT

Step 4 of 10

First Name *

Last Name *

Position *

Phone *

Email *

ALTERNATE CONTACT

Step 5 of 10

First Name *

Last Name *

Position *

Phone *

Email *

CHAIR AND BOARD DETAILS

Step 6 of 10

Chairperson's First Name *

Last Name *

Email *

Phone *

Add Board Member

REGULATORY SYSTEM

Step 7 of 10

National Regulatory System Community Housing (NRSCH)

Is your organisation NRSCH or NSW Local Scheme Registered? *

NRSCH Date of Registration *

Next Compliance Date

Tier *

NSW Local Scheme Date of Registration *

Next Compliance Date

Is your organisation considering becoming NRSCH registered? *

NSW Aboriginal Land Council (NSWALC)

Is your Organisation operating as a Community Benefits Scheme (Residential Accommodation) under the ALRA (1983)? *

Yes

No

Aboriginal Housing Office (AHO)

Is your organisation registered as an Aboriginal Community Housing Organisation (ACHO) or a Aboriginal Community Housing Provider (ACHP) with AHO? *

ACHO - Aboriginal or Torres Strait Islander organisations registered with AHO that own or manage community housing but DO NOT manage AHO-owned properties.

ACHP - Aboriginal Community Housing Providers registered with AHO and accredited under the NRSCH or NSW Local Scheme, which MAY manage AHO-owned properties.

No.

Office of the Registrar of Indigenous Corporations (ORIC)

Is your organisation registered with ORIC? *

Yes

No

HOUSING PORTFOLIO AND SERVICE DELIVERY

Step 8 of 10

How many residential properties does your organisation own? *

How many commercial properties does your organisation own? *

Does your organisation manage properties for government (e.g. Aboriginal Housing Office, Homes NSW) or Aboriginal Community Controlled Organisations (e.g. Local Aboriginal Land Councils or Aboriginal Corporations)?

Yes

No

What other services does your organisation provide?

DELEGATION AND VOTING RIGHTS

Step 9 of 10

Should your application for membership be approved, and you wish to exercise your voting rights at general meetings, you must appoint a delegate.

Please provide the details of the person authorised to act as your organisation's delegate for voting and representation purposes with ACHIA NSW Limited.

The nominated delegate may be updated at any time by the Member organisation in writing, in accordance with the ACHIA NSW Limited Constitution. ACHIA NSW may require written confirmation of the delegate prior to any General Meeting.

Authorised Delegate

Delegate Full Name *

Job Title *

Email *

Phone *

I confirm that I am duly authorised to nominate a delegate to ACHIA NSW Limited. I have read and agree to the ACHIA NSW Membership Information document *

CONFIRMATION

Step 10 of 10

Applicant Details
Eligibility Criteria
Organisation Details
Primary Contact
Alternate Contact
Chair and Board Details
Regulatory System
Housing Portfolio and Service Delivery
Delegation and Voting Rights

Electronic Signature

Full Name *

Position *

I confirm that I am duly authorised to submit this Membership Application on behalf of the organisation identified in this form, and that I hold a senior position (e.g. CEO, Board Chair or equivalent) with the authority to do so. I further confirm that all information provided is true and correct at the time of submission. *

APPLICANT DETAILS

ELIGIBILITY CRITERIA

Thank you for your interest in becoming a member of ACHIA NSW.Based on your responses, your organisation does not currently meet the eligibility criteria.

ORGANISATION DETAILS

PRIMARY CONTACT

ALTERNATE CONTACT

CHAIR AND BOARD DETAILS

REGULATORY SYSTEM

National Regulatory System Community Housing (NRSCH)

NSW Aboriginal Land Council (NSWALC)

Aboriginal Housing Office (AHO)

Office of the Registrar of Indigenous Corporations (ORIC)

HOUSING PORTFOLIO AND SERVICE DELIVERY

DELEGATION AND VOTING RIGHTS

Authorised Delegate

CONFIRMATION

Electronic Signature

Acknowledgement of Country

Thank you for your interest in becoming a member of ACHIA NSW.
Based on your responses, your organisation does not currently meet the eligibility criteria.