Welcome to the Australian Greens Victoria! We're so glad you're with us. Please take a few minutes to tell us more about you, your interests, and what you'd like to hear from us about: About you First Name Last Name Preferred Name Email Phone Postcode Pronouns What are your pronouns? He/Him She/Her They/Them Other (please enter) Your pronouns Reason for joining Why did you join the Greens? Understanding you As a progressive movement, we aim to reflect the diversity of Australia in our membership base. To help us understand how diverse our membership is, we would really appreciate if you could answer the following questions to help us build a better picture of how we are doing. Each question is optional to answer. How we protect your data Work Status Which of the following best describes your work status? - None -Employed (full-time)Employed (part-time or casual)Employed (away from work)Unemployed (looking for work)RetiredStudyingOn a career breakHomemakerPrefer not to say Living Situation Which of the following best describes your living situation? - None -RentingPaying a mortgage or living in a home that I ownLive in my own home and own an investment property or propertiesOtherPrefer not to say Country of Birth Which country were you born in? - None -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSarkSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkmenistanTurks & Caicos IslandsTuvaluTürkiyeU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Languages Do you speak any languages other than English at home? - None -YesNoPrefer not to say Ethnic/Cultural Background How would you describe your ethnic/cultural background? - None -Australian PeoplesNew Zealand PeoplesMelanesian and PapuanMicronesianPolynesianBritishIrishWestern EuropeanNorthern EuropeanSouthern EuropeanSouth Eastern EuropeanEastern EuropeanArabJewishPeoples of the SudanOther North African and Middle EasternMainland South-East AsianMaritime South-East AsianChinese AsianOther North-East AsianSouthern AsianCentral AsianNorth AmericanSouth AmericanCentral AmericanCaribbean IslanderCentral and West AfricanSouthern and East AfricanOtherPrefer not to say Your interests Working Groups Working groups help coordinate the party’s work in specific areas and are a great way to have direct input into Greens policies. What working groups would you like to join (if any)? I identify as a woman and want to join the Women's Network. I am LGBTQIA+ and want to join the Queer Greens Victoria. I am interested in multicultural issues and want to join the Multicultural Greens Victoria. I am 30 or under and would like to join the Victorian Young Greens. I am a disabled person and I want to join the Accessible Victorian Greens. I am Aboriginal or Torres Strait Islander and want to join the Blak Greens. I am interested in regional/rural issues and want to join the Country Greens. I am Jewish or a Jewish ally and want to join the Jewish Greens. I am a sex worker or sex worker ally and want to join the Red Umbrella Greens. Issues Which of the following issues would you like to hear from us about? Animals Arts & Media Climate Democracy Disability Drug Reform Economic Fairness Education Environment First Nations Justice Health Housing Justice & Law Peace & Defence Social Justice Transport & Planning Regular Giving Would you like to take the next step in our powering our campaigns and become a regular donor? Yes No Bequest Would you like to hear more about EverGreen, the Greens bequest gift in will program? Yes No
