• Membership application

  • Associate

    Thanks for your interest in becoming an Associate Member of Impact North. We’re excited to be building a strong and connected membership with the social enterprise sector. From here, we’ll guide you through the application process to make it as simple as possible, starting with some questions. 
  • I am applying as an:*

  • Select your annual membership tier *

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              Start-up

              For individuals or organisations in their early stages of trade, with a turnover under $500K per annum.

              $150.00 AUD$150.00AUD
                
              Scale-up

              For organisations in scale-up stage, where turnover is between $500K and $2M per annum.

              $250.00 AUD$250.00AUD
                
              Tier 1

              For organisations where turnover is between $2M and $5M per annum.

              $350.00 AUD$350.00AUD
                
              Tier 2

              For organisations where turnover is between $5M and $10M per annum.

              $500.00 AUD$500.00AUD
                
              Tier 3

              For organisations with a turnover of $10M+ per annum

              $750.00 AUD$750.00AUD
                
              Subtotal
              $0.00 AUD$0.00AUD
              Tax
              $0.00 AUD$0.00AUD
              Total
              $0.00 AUD$0.00AUD
              Debit or Credit Card

            • You will be billed annually as a recurring payment. You may cancel at any time.

            • About you

            • In which state do you reside?*
            • Do you identify with any of the following communities or lived experiences?*
            • Are you over the age of 18?*
            • What is your motivation for joining? Select all that apply.*

            • Overview

            • Do any of the business owners or founders identify with any of the following communities or lived experiences?
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            • Location

            • Where does your organisation have a physical presence? Examples include: offices, storefronts, or facilities.*
            • What are the service locations of your organisation? Examples include: consulting delivered remotely, online services, or goods distributed across Australia.*

            • Reciprocal membership

              If your organisation is based in the Northern Territory, you can join both your state peak (Impact North) and Social Enterprise Australia through a single application, for the same membership fee.

              You can also choose to join the Social Enterprise Collective of Tasmania (SECTAS) at 50% of their membership fee. If selected, we’ll share your application with them for assessment, and they’ll invoice you directly.

               

            • Model

            • Which type(s) of actor best describes your organisation?*
            • Which of the following best describes your social enterprise model? Select all that apply.*
            • Which area(s) of activity is your organisation active in?*
            • Which industry sectors* does your organisation operate in?*

            • *If you're unsure which industry sector best fits your organisation, you can refer to the Australian and New Zealand Standard Industrial Classification (ANZSIC) list for a more detailed breakdown.

            • Who are your primary customers?*
            • Which United Nations Sustainable Development Goals (SDGs) does your organisation contribute to?
            • What other certifications or verifications does your organisation hold?
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            • Acknowledgements

            • By submitting the application, you confirm that: 

              • You are applying to become an Associate Member of Impact North.
              • You have read and agree to follow the Membership Policy.
                You have read and accept the Privacy Policy.
              • You consent to receive communications from Impact North about your membership, as well as sector updates, events, and opportunities that support and relate to your membership.

              You are also applying to join the national peak Social Enterprise Australia, through reciprocal membership, at no extra cost. Information from this form will be shared with Social Enterprise Australia and managed according to its governing documents and policies.

              By default, your application will be shared and reviewed unless you choose to opt out below. 

            • How did you first hear about us?
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