BMSSSP Membership Application Form
By becoming a member you can play an important part in reducing the number of suicides in our community. Please complete the form below to join as a member today.

You can contact the BMSSSP committee directly via email at 
secretary@bluemountainssafespace.com.au

A copy of our constitution is publicly available and can be read by clicking on this link.

Before becoming involved with our service there are some things to consider.  Remember, your involvement needs to be the right thing at the right time for you. Please consider the Roses in the Ocean Readiness to be involved questions Readiness to be involved in suicide prevention - Roses in the Ocean

Being involved in suicide prevention can take an emotional toll on a person, and it is extremely important that you continue to take care of yourself. Roses in the Ocean has a developed a form to help you think about ways you do this, My self-care plan - Roses in the Ocean.

Talking and reading about suicide can raise all sorts of emotions.
If reading about BMSSSP and suicide raises strong emotions for you and you'd like to speak with someone, support lines you can contact can be found listed here.
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First and Last Name  *
Pronouns:
 *
Email *
Phone number *
Address *
Postal Address (if different from street address)
Date of birth *
MM
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DD
/
YYYY
Do you have a lived experience of suicide or suicidal ideation? (This may mean you have experienced suicidal ideation or crisis yourself, cared for someone through a suicidal crisis, or been bereaved by suicide.)  

(tick all that apply)
 *
Required
How would you like to be involved? (tick all that apply)
 *

An FAQ for volunteers including registration instructions for our training can be found here.

An infographic showing you the path to become a volunteer can be found here.
Required
A member of our management committee will contact you on a Monday, Wednesday, or Friday to discuss your involvement and tell you more about safe space. Please indicate days/times that would be convenient for you to receive a phone call.
 *
Required
What other skills or abilities would you bring to the BMSSSP? Is there anything else we should know about you?
Consent Declaration (tick all that apply)
 *
Required
How did you hear about us? (tick all that apply)
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Required
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