Skip to content

YAWURU (Broome, WA) Yanalangami Changemaker Application Form (Community Nomination)

Yanalangami YAWURU: Strong Women, Strong Communities Program (Community Nomination)

This opportunity is only open to women who identify as Aboriginal and/or Torres Strait Islander aged 18years+, living on or near Yawuru Country, Broome WA. Anyone can nominate an Aboriginal and/or Torres Strait Islander female Changemaker making positive contributions to Community.

Please ensure the woman you are nominating is available to undertake the 3-day residential program in Broome from Friday 11th October until Sunday 13th October 2024 (inclusive).

The application form includes a series of brief questions, please feel free to write as little or as much as you feel.

Please note, one you start this application you will be unable to save and return to it later. We encourage you to only start this application when you have 10-15 minutes to complete it.
1.Your name and contact details(Required.)
2.Name of your nominated Changemaker:(Required.)
3.Does the Changemaker identify as Aboriginal and/or Torres Strait Islander?(Required.)
4.Is this Changemaker nominee at least 18 years of age?(Required.)
5.Age of nominated Changemaker:(Required.)
6.Has this nominated Changemaker confirmed she is available (if selected) for the 3-day residential Yanalangami program on Friday 11th until Sunday 13th October 2024?(Required.)
7.Who is their Mob and/or Community?
8.Contact details for the Changemaker:(Required.)
9.Please tell us how you know this Changemaker.

We would love to hear about how long you have known her, where you met (eg. at work, volunteering), and why you think she is a Changemaker...(Required.)
10.Please tell us about your Changemaker.

We would love to hear about her journey so far, the things she is passionate about, the people or organisations she has collaborated with, anything she brings to community, why she serves community and what dreams she has for community.(Required.)
11.Why do you think your nominated Changemaker should participate in the Yawuru Yanalangami: Strong Women, Strong Communities Program?(Required.)
12.In what ways do you think your nominated Changemaker will learn, grow and benefit from the Program and how will it positively impact her community?(Required.)
13.Are there any resources or tools that you think would help your Changemaker to make positive Community change?
This could be anything from courses they might like to do, to equipment they may need.(Required.)
14.How did you hear about this program?(Required.)
15.Please confirm you have read the Yawuru Yanalangami Terms and Conditions (available on our website at www.yanalangami.com.au/terms-and-condition/ )
Current Progress,
0 of 15 answered