Become a Member

Brain Injury Matters > Become a Member

Membership Application Form

Membership is free.

Attending the BIM Peer Support Groups is also generally free although there may occasionally
be optional activities that require you to cover your own costs eg. food/drink at a cafe,
entry fee for an outing, contribution for a special activity.

You are welcome to join us as a Member or Friend of BIM.

By becoming a Member or Friend you will

– Receive our monthly newsletter

– Receive other brain injury news and information about events

Members also have access to our peer support groups, both online and face-to-face meetings.

Types of Membership

– Member: Victorian adult living with Acquired Brain Injury

– Friend of BIM: Person who identifies with the aims of BIM but is ineligible to become a member

Only members may stand for a position on the Committee of Management or vote in elections.

Application (Please complete the following)

I wish to join Brain Injury Matters as a:
please tick one box only

I wish to become a Member of Brain Injury Matters and I am a Victorian Adult (over 18 years of age) living with a Brain Injury
I am a friend or family member of someone with a brain injury
I am a health professional working with people with brain injury
I am a carer, support worker or support coordinator working with people with brain injury
I am none of the above, please include your reason for joining BIM below

First Name

Last Name

Date of Birth

Email Address

Phone #

Address

Post code

State (in Australia)

If outside of Australia, where?

Would you like to find out more about BIM Peer Support Groups?
YES NO

If you answered 'Yes', which group/s are you interested in (please tick all that may apply
Ringwood Frankston Bendigo Women's Group (CBD) Northcote Online 'Brainwave' Albury/Wodonga Footscray Coffee Morning Online

What is your gender identity?
Female : Male : Non-binary/gender : queer/gender fluid : Prefer not to answer : I use a different term:

Is your preferred language English?
Yes No

If No, which language is used in your home?

Do you identify as Aboriginal or Torres Strait Islander?
Yes, Torres Strait Islander Yes, Aboriginal No

Other Important Contacts
Other Important Contacts Only add details if there are others who you would like to be kept informed about BIM peer support groups and activities e.g. support worker, family member, health professional, agency or others

Photography & Filming Consent
If you agree, Brain Injury Matters may use photos and videos of you in different places.
We might use photos or videos in information we give to our supporters or to let other people know more about the work of Brain Injury Matters e.g. in newsletters, brochures or on our website.
You do not have to agree Brain Injury Matters using photos or videos of you. We have a privacy policy.
This policy gives you the choice to opt out.
You can decide not to let us use photos or videos of you. Deciding "no" will not affect your participation in Brain Injury Matters.
You might not be sure whether to agree to Brain Injury Matters using photos or videos of you. You can discuss this further with your family or support workers and then get back to us.
I agree to BIM using photos or video of me I do not agree to BIM using photos or video of me

Our Supporters

Brain Injury Matters

Brain Injury Matters (BIM) is a self-advocacy and community education organisation run by and for people with Acquired Brain Injury (ABI). All office bearers and committee of management members live with ABI. As a Disabled People's Organisation, we are a voice of people living with ABI in Victoria, Australia.

We acknowledge the Traditional Owners of the land where we live and work. Our office is located on the land of the Boonwurrung and Woiwurrung (Wurundjeri) people of the Kulin Nation. We pay our respects to their Elders past, present and emerging.

Ross House Association
Level 4
247-251 Flinders Lane
Melbourne VIC 3000

PH (03) 9639 7222

© 2020 Brain Injury Matters. All rights reserved.