I certify that the information provided in this form is true and complete to the best of my knowledge. I understand that providing false or misleading information may result in the denial or termination of my membership with ProAccess.

I consent to ProAccess collecting, storing, and using my personal and disability-related information for the purposes of membership administration, communication, and service delivery.
I further consent to ProAccess sharing my information with educational institutions, employers, and other relevant organizations for the purpose of supporting my applications for opportunities such as study placements, employment, bursaries, or learnerships.
I understand that this consent will remain valid for as long as I am a member of ProAccess or until I withdraw it in writing. ProAccess respects my privacy and will handle my information securely and responsibly, in line with the Protection of Personal Information Act (POPIA).

I give ProAccess permission to use my photographs, videos, or testimonials on social media, websites, and other media platforms for awareness, marketing, and reporting purposes.
I understand that my images and stories will be used respectfully and will not be portrayed in a way that undermines my dignity or privacy.

I would like to receive the ProAccess Monthly Newsletter and occasional email updates about accessibility projects, community events, and opportunities.
I understand that I can unsubscribe at any time by clicking the “Unsubscribe” link in the emails or by contacting ProAccess directly.

By submitting this form, I acknowledge that I have read and understood the above statements and consent to the processing of my information as described.