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We are collecting all information contained in this Application for Membership Form on behalf of Melbourne Forum. The Commonwealth Privacy Act 1988 requires that you provide your consent to the inclusion of your personal information, such as name, employer and email, in the list of Members. This list will be made available to all other Members for the purpose of networking. This list will not be provided by Melbourne Forum to any other third party.

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DECLARATION

I am interested in participating in the Melbourne Forum. I understand that membership is not automatic and that this application for membership is subject to committee approval.

I acknowledge the core principles of the Melbourne Forum are that:

1. It provides a welcoming and open environment for the discussion of social, economic, political and public issues of relevance Melbourne and Australia, and to our role in the world.

2. It is founded on a strong and transparent commitment to inclusion and equity, and will always act to reinforce that commitment. It will not discriminate on the basis of race, religion, age, gender identity, sexual orientation, disability or cultural and linguistic background.

3. It is a place for people actively interested in, and engaged with, this community and with ideas and opinions about shaping its future. They are people who are honest and trustworthy, of good character and reputation, highly principled, respectful and recognised for their integrity and ethical behaviour. They adhere to the Chatham House rule at events, (including not recording an event, speaker or member in any format) and respect the privacy of member information.

I share and support these principles and Melbourne Forum's Code of Conduct.

I would welcome the opportunity to join the Melbourne Forum.

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