Climate Changers 2019 - Expression of Interest

The Climate Changers program is for young people aged 16 - 25 years who are passionate about the environment.
The program provides a unique opportunity for participants to get involved in the local community, learn leadership and advocacy skills, and to work with likeminded individuals to take positive action on climate change.

Please fill in your details below to register your interest to participate in the Climate Changers program.

Question Title

* 1. Contact details

First name:

Last name:

Date of birth:

Email address:

Phone / mobile number:

Home address:

Question Title

* 2. How did you find out about this program?
(Select all that apply)

Facebook

Instagram

School

Friend

Parent / guardian / carer

Library

Youth worker

Other (please specify)

Question Title

* 3. What do you want to gain from this program?

Thank you for registering your expression of interest. A member from the Youth and Family Services team will be in touch with you shortly.

If you have any questions, please contact Catherine on (03) 9793 2155

Climate Changers 2019 - Expression of Interest

Question Title

* 1. Contact details

Question Title

* 2. How did you find out about this program?(Select all that apply)

Question Title

* 3. What do you want to gain from this program?

* 2. How did you find out about this program?
(Select all that apply)