Thank you for offering to share your story with NCOSS!

Please use the form below to tell us how your organisation has adapted its services in the face of COVID-19.

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* 1. Organisation Name

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* 2. Brief organisation description

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* 3. Organisation's website

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* 4. Organisation's Facebook page (if applicable)

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* 5. Organisation's Twitter account (if applicable)

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* 6. Organisation's LinkedIn page (if applicable)

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* 7. Contact Name

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* 8. Contact Email

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* 9. Contact Phone Number

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* 10. What challenges does your organisation face with the COVID-19 restrictions?

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* 11. What practices did you put in place to adapt to the restrictions? Please include details of any specific activities, programs, or people to add some colour and energy to your story.

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* 12. Is there anything else you'd like to tell us about your organisation or community?

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* 13. We'd love to share an uplifting image of your organisation with your story. Please upload a photo of your staff, volunteers and/or community at work.

If you have multiple photos you'd like to share we'd love to see them all, you can email them to michelle@ncoss.org.au.

PNG, JPG, JPEG file types only.
Choose File

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* 14. Acknowledgment and consent
I acknowledge that the images and information I have provided may be used in NCOSS communications, including but not limited to eNewsletters, social media, reports and internet sites.
I give permission for the images and information I provide to be used by NCOSS to produce material for a period of up to twenty-four months from the date of the execution of this form.
I acknowledge that at any time I may request in writing that NCOSS no longer use any images in which I appear.

If you have any questions or comments, you can email michelle@ncoss.org.au or call 02 8960 7922.

Thank you for all you do!

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