Anti-DOTE Multi-Racial Girls and Women's Network
Membership Application
DOWNLOAD A MEMBERSHIP FORM IN MS WORD FORMAT HERE,
OR PRINT OFF THE FORM BELOW.
The purposes of the society are:
- To increase the psychological and social well being of racialised women and girls.
- To provide a network of support for racialised women and girls.
- To promote the broader visibility and needs of racialised minority women and girls in the greater community;
- To promote community development and social change through participatory action approaches.
- To break down exclusionary terms & categories and find new ways to name and complexify ourselves.
Who Can Join?
- Racialised minority and Aboriginal girls and women, 12 years and older,
living in the Greater Victoria community and the Islands.
- Membership is on an individual basis and there are no corporate or organization memberships.
- Associate membership available to girls and women who do not fit in description in #1.
As an associate member, you have no voting rights. Bylaw 3(a)
Personal Information:
Name: ___________________________________________________________
Address: __________________________________________________________
Phone: __________________________ Email: ___________________________
Ethnic, Cultural, Racial, Sexual Orientation, Religious and Other Identities. Please Self- Identify:
_________________________________________________________________
Age: ______ Birth Date: ____________
Annual Membership Dues:
Annual dues for the Member and Associate Memberships will include discounts on
workshops &
conferences, quarterly newsletter,
networking directory, and access to members only site on web.
Please check off box:
| Members: |
|
Associate Members: |
Members have full voting rights at
the Annual General Meeting.
___ Adults: $10/year
___ Youth, Students & Unwaged: $5/year
___ Under 16 years of age: by donation |
|
Associate members have no voting rights at
the Annual General
Meeting.
___ Adults: $10/year
___ Youth, Students & Unwaged: $5/year
___ Under 16 years of age: by donation
|
Please submit a cheque
to: Anti-dote: Multi-racial Girls and Women’s Network by the end of January.
Signature: _____________________
Date: ________________________
Annual fees are due by January 31st of each year.
Send your completed application and payment to:
Anti-dote
915 Island Road
Victoria, B.C.
V8S 4N3
