Thank you for applying to be a headspace Mount Gambier Youth Ambassador!

Have you read the full information pack? In not, click here to have a look or to download a copy.

Any questions? contact us at headspacemountgambier@unitingcommunities.org

Click 'ok' if you're ready to be a part of something awesome!

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* 1. Contact information

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* 2. What is your date of birth?

Date

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* 3. What is your gender?

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* 4. What languages do you speak at home?

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* 5. Where were you born?

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* 6. Do you identify as Aboriginal and/or Torres Strait Islander

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* 7. Have you or a family member experienced mental illness?

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* 8. Please tell us a bit about yourself and why you are interested in joining the Youth Ambassador Program

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* 9. Do you have any involvement in other organisations? If yes, what is your involvement? Do you have any public speaking experience?

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* 10. Do you have:

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