Youth Services - Youth Summit 2012

1. Youth Summit leaders

Youth Services is looking for young people from across Moonee Valley to help run the first Moonee Valley Youth Summit.

The summit, to be held during National Youth Week in April, will be a celebration of the diversity, opinions, and ideas of local young people.

Young people will come together to discuss and debate important issues in our community.

Registrations are due by Friday, 3 February.

If you have any further questions you can contact us at youth@mvcc.vic.gov.au or give us a call on 9243 8888.

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* 1. Personal Details

Name: *

Address 1: *

Address 2:

Suburb: *

Date of Birth: *

Home Phone:

Mobile:

Email Address:

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* 2. How old are you?

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* 3. What is the best way to contact you?

Home Phone

Mobile

Mail

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* 4. Gender

Male

Female

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* 5. Are you currently:

Attending school

Attending University/TAFE

Employed (Full time)

Employed (Part time)

Unemployed

Please name your School/Uni/TAFE/Employer

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* 6. What interests do you have? (You can answer more than one)

Writing

Art/cultural activities

Listening to music

Travel

Social networking sites

Current affairs

Watching films/TV

Performing for others

Playing sports

Making music or videos

Computer games

Bands/concerts/festivals

Different cultures

Pets/animals

Helping the environment

Reading

Fashion

Volunteering

Other (please specify)

Youth Services - Youth Summit 2012

1. Youth Summit leaders

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* 1. Personal Details

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* 2. How old are you?

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* 3. What is the best way to contact you?

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* 4. Gender

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* 5. Are you currently:

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* 6. What interests do you have? (You can answer more than one)

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* 7. Are you involved in any other groups or extra-curricular activities? (Please list)

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* 8. Do you have any skills or previous experience that you can contribute?

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* 9. Why do you want to be involved in helping to organise the Summit?

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* 10. Do you need any special assistance to help you participate in this project?

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* 11. Anything else you would like to add?