1. Contact Information
Name of Organisation(*)
Required field
Address
Invalid Input
City
Invalid Input
Post Code
Invalid Input
Telephone
Invalid Input
Contact person for membership(*)
Required field
Job title
Invalid Input
Email(*)
Invalid email address.
1.a. Key Contacts - type them in here OR upload a list
Directors/ CEOs/ Managers of your organisation who SSPA can keep informed
Invalid Input
Directors/ CEOs/ Managers of your organisation who SSPA can keep informed
Invalid Input
Other colleagues' emails to go on our e-newsletter mailing list
Invalid Input
Alternatively upload a list of contacts
Invalid Input
.xlsx/ .docx/ .pdf can be uploaded
2. Legal Information
Charities Registration Number(*)
Required field
Please describe what services you provide and
how you consider your organisation’s objectives are
compatible with those of SSPA(*)
Required field
3. Service Information
MSD Agreements:
List your contracted services or programmes
Invalid Input
Non-MSD Contracts:
List any contracted services or programmes
Invalid Input
4.Operational Information
Years of operation
Invalid Input
Geographic Reach
Invalid Input
Annual Budget and Funders: MSD
Invalid Input
Annual Budget and Funders: MOJ
Invalid Input
Annual Budget and Funders: DHB
Invalid Input
Annual Budget and Funders: Other
Invalid Input
Invalid Input
Any Cultural or ethnic focus?





Invalid Input
Invalid Input
Number of staff
Invalid Input
Staff total FTE (full-time equivalent)
Invalid Input
Number of volunteers
Invalid Input

Membership Options (GST inclusive):
Please choose one of the following options.
Organisation’s Annual Budget in Total(*)
Required field
(*)
Invalid Input