Registration (Page 1 of 2)

Registration takes approximately 10 minutes. All contact details are kept confidential unless requested otherwise.

Please make sure you've read the benefits of joining and the next steps involved, before you complete this form.

Ok. First we're going to ask you some questions about your community group - then some questions about you personally (or the key contact at your organisation). Please answer these questions as thoroughly as you can!

* indicates required fields.

The name of your organisation*
Does your group belong to part of a national organisation?*
Yes No
Please provide an address for your organisation*
(Street & Suburb) (City)
Please outline your organisation's vision/mission statement/goals (any or all).*
Does your organisation have a computer or access to a computer?*
Yes No
Does your organisation have or have access to the Internet?*
Yes No
If your organisation has a website, please provide the address/URL
(http://...)
Please outline any web/digital tools that your organisation is currently engaging with/using and give an indication of how frequently (ie. Gmail, YouTube, social networking sites, texting, social media tools, online collaboration tools etc)
What does your organisation hope to get out of their 2008 Membership? (This is an opportunity to outline any frustrations/issues your organisation may be dealing with, goals for the future and how yMedia may be able to help, express an interest in taking part in the yMedia Challenge 08 etc)*
And just for our references - where/how did you hear about yMedia?