{"id":7263,"date":"2021-10-27T10:22:40","date_gmt":"2021-10-26T23:22:40","guid":{"rendered":"https:\/\/nhwact.org.au\/?page_id=7263"},"modified":"2023-05-28T14:04:00","modified_gmt":"2023-05-28T04:04:00","slug":"apply-to-be-a-member","status":"publish","type":"page","link":"https:\/\/nhwact.org.au\/index.php\/apply-to-be-a-member\/","title":{"rendered":"Apply to be a member"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7263\" class=\"elementor elementor-7263\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-25a9ea5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"25a9ea5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-25c81e8\" data-id=\"25c81e8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b12cdb6 elementor-widget elementor-widget-ova_heading\" data-id=\"b12cdb6\" data-element_type=\"widget\" data-widget_type=\"ova_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ova-heading\">\n\t\t\t\n\t\t\t\t\t\t\t<h3 class=\"title second_font\">Membership Application Form<\/h3>\n\t\t\t\n\t\t\t\t\t\t\t<p class=\"sub-title \">ACT Neighbourhood Watch Association Inc.<\/p>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fd4f62d elementor-widget elementor-widget-shortcode\" data-id=\"fd4f62d\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f9086-o1\" lang=\"en-AU\" dir=\"ltr\" data-wpcf7-id=\"9086\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/7263#wpcf7-f9086-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"9086\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_AU\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f9086-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div id=\"responsive-form\" class=\"clearfix\">\n<\/div>\n<div class=\"mybox\">\n\t<div class=\"form-row\">\n\t\t<h4 style=\"margin-bottom: 0px; margin-top: 15px; font-style: italic; padding-left:7px;\">Office use only\n\t\t<\/h4>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-third\">\n\t\t\t<p>Registration No.<span class=\"wpcf7-form-control-wrap\" data-name=\"your-registrationno\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-registrationno\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-third\">\n\t\t\t<p>Date of Registration<span class=\"wpcf7-form-control-wrap\" data-name=\"dateofregistration\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dateofregistration\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"form-row\">\n\t<h4 style=\"margin-bottom: 10px; padding-left: 7px; font-size: 16.5px; margin-top: 20px;\"><span style=\"padding-left: 10px;\">* Only one person per form<\/span><br \/>\n<span style=\"color: red;\">**&nbsp;<\/span>Mandatory fields. NA if not applicable<br \/>\n<span style=\"color: red;\">*** <\/span>Applications must be 18 years or older.\n\t<\/h4>\n<\/div>\n<div class=\"mybox\">\n\t<div class=\"form-row\">\n\t\t<h4 class=\"myline\" style=\"margin-bottom: 0px; margin-top: 15px; padding-left: 7px;\">DETAILS OF APPLICANT\n\t\t<\/h4>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-four1\">\n\t\t\t<p>Title<span style=\"color: red;\">**<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"your-title\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-title\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-four2\">\n\t\t\t<p>First Name<span style=\"color: red;\">**<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-four2\">\n\t\t\t<p>Middle Name(s)<span style=\"color: red;\">**<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-four2\">\n\t\t\t<p>Family Name<span style=\"color: red;\">**<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"family-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"family-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-third\">\n\t\t\t<p>Other Names<span style=\"color: red;\">**<\/span><span style=\"font-size: 13px; display: block; line-height: 14px; padding-bottom: 6px;\"> (Including maiden or former name. Type \"NA\" if not applicable. )<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"other-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-third\" style=\"align-items: end; display: grid;\">\n\t\t\t<p>Preferred name<span class=\"wpcf7-form-control-wrap\" data-name=\"preferred-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"preferred-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-third\" style=\"align-items: end; display: grid;\">\n\t\t\t<p>Date of Birth<span style=\"color: red; display: contents;\">**<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"dateofbirth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dateofbirth\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p>City\/ Country of Birth<span style=\"color: red;\">**<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"city-country\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city-country\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p>Drivers Licence number<span style=\"color: red;\">**<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"driver-licence\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"driver-licence\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"mybox\">\n\t<div class=\"form-row\">\n\t\t<h4 class=\"myline\" style=\"margin-bottom: 0px; margin-top: 15px; padding-left: 7px;\">CONTACT DETAILS\n\t\t<\/h4>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<h4 style=\"margin-bottom: 0px; margin-top: 15px; padding-left: 7px; font-family: 'Nunito Sans'; font-size: 16px;\">CURRENT RESIDENTIAL ADDRESS<span style=\"color: red;\">**<\/span>\n\t\t<\/h4>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p>Street No. and Name <span class=\"wpcf7-form-control-wrap\" data-name=\"current-street\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"current-street\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p>Suburb <span class=\"wpcf7-form-control-wrap\" data-name=\"current-suburb\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"current-suburb\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-third\">\n\t\t\t<p>Postcode<span class=\"wpcf7-form-control-wrap\" data-name=\"current-postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"current-postcode\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-third myyear\">\n\t\t\t<p>Time at this Address\n\t\t\t<\/p>\n\t\t\t<div class=\"myone\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"years\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"years\" \/><\/span><span style=\"padding-left:12px;\">Yrs<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"column-third mymth\" style=\"align-items: end; display: grid;\">\n\t\t\t<div class=\"myone\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"months\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"months\" \/><\/span><span style=\"padding-left:12px;\">Mths<\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<h4 style=\"margin-bottom: 0px; margin-top: 15px; padding-left: 7px; font-family: 'Nunito Sans'; font-size: 16px;\">PREVIOUS ADDRESS<span style=\"color: red;\">**<\/span>\n\t\t<\/h4>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-full\">\n\t\t\t<p>(if at current address less than 12 mths. Type \"NA\" if not applicable. )<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"previous-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"previous-address\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<h4 style=\"margin-bottom: 0px; margin-top: 15px; padding-left: 7px; font-family: 'Nunito Sans'; font-size: 16px;\">POSTAL ADDRESS<span style=\"font-size: 13px; line-height: 14px; padding-bottom: 6px; padding-left: 8px;\"> (If different to above)<\/span>\n\t\t<\/h4>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-full\">\n\t\t\t<p>Street No. and Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"postal-street\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal-street\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p>Suburb <span class=\"wpcf7-form-control-wrap\" data-name=\"postal-suburb\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal-suburb\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p>Postcode <span class=\"wpcf7-form-control-wrap\" data-name=\"postal-postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal-postcode\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<h4 style=\"margin-bottom: 0px; margin-top: 15px; padding-left: 7px; font-family: 'Nunito Sans'; font-size: 16px;\">PHONE\n\t\t<\/h4>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-third\">\n\t\t\t<p>Home <span class=\"wpcf7-form-control-wrap\" data-name=\"home\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"home\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-third\">\n\t\t\t<p>Work <span class=\"wpcf7-form-control-wrap\" data-name=\"work\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"work\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-third\">\n\t\t\t<p>Mob<span style=\"color: red;\">**<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"mob\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"mob\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<h4 style=\"margin-bottom: 0px; margin-top: 15px; padding-left: 7px; font-family: 'Nunito Sans'; font-size: 16px;\">EMAIL<span style=\"color: red;\">**<\/span>\n\t\t<\/h4>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-third\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"mybox\" style=\"margin-bottom: 25px;\">\n\t<div class=\"form-row\">\n\t\t<h4 class=\"myline\" style=\"margin-bottom: 0px; margin-top: 15px; padding-left: 7px;\">VOLUNTEERING INTERESTS AND ACTIVITIES\n\t\t<\/h4>\n\t<\/div>\n\t<p style=\"margin-top: 0px; margin-bottom: 0px;\">We recognise that many of our members have interests and skills that they may wish to contribute to NHWACT and we appreciate any assistance and time you are able to provide. Please indicate below, any interests and skills you can bring to the organisation and tick any areas in which you would like to be involved. Ticking a box(es) does not commit you - we will be in touch to provide further information and discuss how you would like to be involved.\n\t<\/p>\n\t<div class=\"form-row\">\n\t\t<h4 style=\"margin-bottom: 0px; margin-top: 15px; padding-left: 7px; font-family: 'Nunito Sans'; font-size: 16px;\">INTERESTS AND SKILLS:\n\t\t<\/h4>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-full\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"my-interests\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"my-interests\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row my-checkbox-row\">\n\t\t<div class=\"column-half\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"my-local-area-act\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"my-local-area-act[]\" value=\"Ticked\" \/><span class=\"wpcf7-list-item-label\">Ticked<\/span><\/label><\/span><\/span><\/span><span class=\"my-checkbox-label\">Local Area activities<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"my-market-and-public\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"my-market-and-public[]\" value=\"Ticked\" \/><span class=\"wpcf7-list-item-label\">Ticked<\/span><\/label><\/span><\/span><\/span><span class=\"my-checkbox-label\">Marketing and public relations<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"my-media\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"my-media[]\" value=\"Ticked\" \/><span class=\"wpcf7-list-item-label\">Ticked<\/span><\/label><\/span><\/span><\/span><span class=\"my-checkbox-label\">Media (including social media and web publishing)<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-half\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"my-events\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"my-events[]\" value=\"Ticked\" \/><span class=\"wpcf7-list-item-label\">Ticked<\/span><\/label><\/span><\/span><\/span><span class=\"my-checkbox-label\">Events (including assist as a volunteer at events)<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"my-it\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"my-it[]\" value=\"Ticked\" \/><span class=\"wpcf7-list-item-label\">Ticked<\/span><\/label><\/span><\/span><\/span><span class=\"my-checkbox-label\">Information technology<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"my-corporate\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"my-corporate[]\" value=\"Ticked\" \/><span class=\"wpcf7-list-item-label\">Ticked<\/span><\/label><\/span><\/span><\/span><span class=\"my-checkbox-label\">Corporate Governance and Administration<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<p style=\"margin: 0px;\"><a style=\"color: #178642;\" href=\"https:\/\/nhwact.org.au\/wp-content\/uploads\/2020\/07\/NHWACT-VOLUNTEER-ACTIVITY-SUMMARY.pdf\" target=\"blank\">Please click here to view the summary of the types of activity which may be included.<\/a>\n\t<\/p>\n<\/div>\n<!--<div class=\"mybox\">\n<div class=\"form-row\">\n<div class=\"column-full\"><ul style=\"line-height: 1.8;\"><li>I declare that the above information is true and correct.<\/li>\n<li>I agree to abide by the <span style=\"color: #178642;\">Constitution of ACT Neighbourhood Watch Assoc Inc<\/span>, and the policies and regulations of the organisation.<\/li>\n<li>I agree to my contact details being provided to the appropriate Management personnel<br>within ACT Neighbourhood Watch Association, ACT.<\/li>\n<li>I will advise the Membership Secretary should any of my details change.<\/li>\n<li>I acknowledge that, as the Neighbourhood Watch Program is a crime prevention program, it is necessary to screen applicants in order to assess their suitability to participate.<\/li><\/ul>\n<p class=\"mymobile\" style=\"margin-top: 0px; margin-bottom: 0px;\">By ticking the two boxes below, I acknowledge that:<\/p><\/div>\n<\/div>\n<div class=\"form-row\">\n<div class=\"column-full\" style=\"padding-top: 0px; padding-bottom: 0px;\"><p class=\"myacc\" style=\"display:flex; align-items: center; margin: 0 0;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"ihavereadand\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ihavereadand\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span>1. I have read and agree to the terms of membership.<\/p><div class=\"form-row\">\n<div class=\"column-full\" style=\"padding-top: 0px; padding-bottom: 0px;\"><p class=\"myacc\" style=\"display:flex; align-items: center; margin: 0 0;\"><span class=\"wpcf7-form-control-wrap\" data-name=\"iconsenttoact\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"iconsenttoact\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span>2. I consent to ACT Policing conducting a check of its criminal and other records and providing the outcome of that check to the Membership Secretary of ACT Neighbourhood Watch Assoc Inc.<\/p><\/div><\/div><div class=\"form-row\">\n<div class=\"column-third\">Date <span class=\"wpcf7-form-control-wrap\" data-name=\"date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date\" \/><\/span><\/div>\n<\/div>\n<\/div><\/div><\/div>-->\n<div class=\"mybox\">\n\t<div class=\"form-row\">\n\t\t<div class=\"column-full\">\n\t\t\t<ul style=\"line-height: 1.8;\">\n\t\t\t\t<li>\n\t\t\t\t\t<p>I declare that the above information is true and correct.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>I agree to abide by the <span style=\"color: #178642;\">Constitution of ACT Neighbourhood Watch Assoc Inc<\/span>, and the policies and regulations of the organisation.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>I agree to my contact details being provided to the appropriate Management personnel<br \/>\nwithin ACT Neighbourhood Watch Association, ACT.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>I will advise the Membership Secretary should any of my details change.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>I acknowledge that, as the Neighbourhood Watch Program is a crime prevention program, it is necessary to screen applicants in order to assess their suitability to participate.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t\t<p class=\"mymobile\" style=\"margin-top: 0px; margin-bottom: 0px;\">By ticking the two boxes below, I acknowledge that:\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-myspe1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"ihavereadand\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"ihavereadand\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-myspe2\">\n\t\t\t<p><span style=\"color: red;\">**<\/span>1. I have read and agree to the terms of membership.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-myspe1\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"iconsenttoact\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"iconsenttoact\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"column-myspe2\">\n\t\t\t<p><span style=\"color: red;\">**<\/span>2. I consent to ACT Policing conducting a check of its criminal and other records and providing the outcome of that check to the Membership Secretary of ACT Neighbourhood Watch Assoc Inc.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-row\">\n\t\t<div class=\"column-third\">\n\t\t\t<p>Date<span style=\"color: red;\">**<\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" id=\"myform-submit\" type=\"submit\" value=\"Submit\" \/><br \/>\n<!--end responsive-form-->\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2ff7eaf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2ff7eaf\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0ce4f54\" data-id=\"0ce4f54\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a69ae07 elementor-widget elementor-widget-image\" data-id=\"a69ae07\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! 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