Website Registration Please use this form to register for access to the working areas of the Alliance website. This form is not an application for Alliance Membership. For details of membership please visit: www.lgbtihealth.org.au/membership Name*As you would like it to be known in Alliance contexts. First Last Email*When accessing the Alliance website your email will also be your Username. Enter Email Confirm Email Please select:*I would like to register for access to the Alliance WebsiteI would like to update or modify an existing accountUpdate or modify your accountAlliance Groups*Please indicate the Alliance Groups you would like to join. Please include the registration code for each group. RegistrationPassword Creation*Your password when using Alliance Community spaces. Enter Password Confirm Password Registration Code*Please enter the Registration Code associated with your project or work area. This information is included on your website registration email.Which QLife site are you associated with?*Please select*Counsellor (Volunteer)Counsellor (Staff)Another role (Volunteer)Another role (Staff)Your role with QLife*By registering, you are agreeing: that access to the QLife Library is for your use only; not to share your log-in details with anyone else; to log out at the end of each session, especially if you are on a shared or public computer; that documents in the QLife Library are not to be shared or distributed outside of the QLIfe project without permission from your line manager/coordinator or the QLife project manager; that your access to the QLIfe Library is active while you are a current QLife volunteer or staff member and will cease upon vacating your position as a QLife volunteer or staff member; to notify any access or security concerns related to your use of the QLife Library to email@example.com or your line manager/coordinator. Access to the Board Working Area is for your use only; Remember to log out at the end of each session, especially if you are on a shared or public computer; Documents in the Board Working Area are not to be shared or distributed outside of the Board Membership Access to the Board Working Area is active while you are a current Board Member and will cease upon vacating your position as a Board Member; Please notify us of any access or security concerns related to your use of the Board Working Area CAPTCHACommentsThis field is for validation purposes and should be left unchanged.