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Become a Member
Contact WiTWA
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New Corporate Member Registration
Step
1
of
3
– Company Details
33%
Company Name
(Required)
Company ABN
(Required)
Company Address
(Required)
Address Line 1
Address Line 2
Suburb
State
Postcode
Company Bio
(Required)
Where is your organisation on the DEI journey currently?
(Required)
We’re just beginning
We’ve started but have a long way to go
We’re a fair way along, but looking for additional support
We have gone through previous programs, but are constantly iterating
Other
How many employees do you have at your organisation?
(Required)
1 – 100 employees
100 – 1,000 employees
1,000+ employees
Email Domains
(Required)
As part of our Corporate DEI Membership program, team members in your organisation can automatically register a user to access the DEI Portal. In order for this to work, we need to know any email domains that your organisation uses. If you have more than one email domain (e.g. witwa.org.au and techtrails.org.au) please include all relevant domains separated by commas.
Other
(Required)
Contact Leading the DEI Initiative
This person will be the primary contact liaising with WiTWA representatives with regards to the implementation of DEI initiatives within your organisation.
Contact Name
(Required)
First
Last
Contact Email
(Required)
Contact Phone Number
(Required)
Contact for Job Postings
This is the person most likely to be liaising with WiTWA to create, add or remove job postings from our careers page.
Is the contact person for job postings the same as the contact listed above?
Yes, it is the same person
No, it is a different person
Contact Name
(Required)
First
Last
Contact Email
(Required)
Contact Phone Number
(Required)
Authorised Signatory
This can be one of the contacts listed above OR a different contact but should be a person within your organisation with the authority to enter into a contract with WiTWA.
Is the authorised signatory the same as one of the contacts listed above?
Yes, the DEI initiative lead is also the authorised signatory
Yes, the job posting contact is also the authorised signatory
No, the authorised signatory is a different person
Authorising Signatory Name
(Required)
First
Last
Authorising Signatory Email
(Required)
Authorising Signatory Phone Number
(Required)
Billing Contact
This can be one of the contacts listed above OR a different contact (e.g. accounts)
Is the billing contact the same as one of the contacts listed above?
Yes, the DEI initiative lead is also the billing contact
Yes, the job posting contact is also the billing contact
Yes, the Authorised Signatory is also the billing contact
No, the billing contact is a different person
Name
(Required)
First
Last
Email
(Required)
Logo File Upload
(Required)
Accepted file types: svg, ai, eps, pdf, png, jpg, Max. file size: 256 MB.
Social Media Handle(s)
We’d love to help spread the word to people outside (and inside) your organisation about your commitment to improving diversity, equity and inclusion in the workplace. Let us know the best way(s) to connect with you on social media…
LinkedIn
Facebook
Instagram
Twitter
LinkedIn Handle
Facebook Handle
Instagram Handle
Twitter Handle
Your company's commonly used Social Media Hashtags
Any Other Information
Number
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