Queensland Hub Exchange of Expertise and Learning Initiative -
Expression of Interest Form

Thank you for your interest in the initiative, which closes November 7th.

We recommend that you first complete your responses in the Word version, as you will not be able to save a draft in this format.

If you have any problems completing this form, please contact Sophie Morson on 0411 374 664 or email sophie.morson@aracy.org.au

When you reach the end of the form, you can request to receive a copy of your responses via email.

Applicant and Hub Details

Question Title

* 1. Please list the contact person for this application

Name:

Position title:

Email address:

Phone number:

Question Title

* 2. Please provide details of your hub
(or organisation if your hub is in establishment).

If a question doesn't apply, please write N/A in the box so you can move on to the next question.

Residential address of the hub:

Suburb:

Postcode:

ABN of the hub/organisation:

Have you registered for GST (Y/N)

Hub website domain (if applicable):

Year hub was established (if applicable):

Number of staff directly employed by hub (if applicable):

Number of volunteers engaged in the hub (if applicable):

Question Title

* 3. Please tick the option/s that best describe your hub and setting. You can tick more than one box.

School-based hub

Early Years Place

Neighbourhood Centre

Library

Community hub

Early childhood education and care

Aboriginal community-controlled organisation

Community/Non Government

Primary School

Primary Care

Virtual/e-hub

Other (please specify)

None of the above

Question Title

* 4. Is your hub?

Established

Under development

In planning stage

8% of survey complete.

Queensland Hub Exchange of Expertise and Learning Initiative -Expression of Interest Form

Question Title

* 1. Please list the contact person for this application

Question Title

* 2. Please provide details of your hub(or organisation if your hub is in establishment). If a question doesn't apply, please write N/A in the box so you can move on to the next question.

Question Title

* 3. Please tick the option/s that best describe your hub and setting. You can tick more than one box.

Question Title

* 4. Is your hub?

Queensland Hub Exchange of Expertise and Learning Initiative -
Expression of Interest Form

* 2. Please provide details of your hub
(or organisation if your hub is in establishment).

If a question doesn't apply, please write N/A in the box so you can move on to the next question.