headsapce Mount Gambier Family & Friends Reference Group application

Thank you for applying to be part of the headspace Mount Gambier Family & Friends Reference Group!

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

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* 1. What is your name?

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* 2. Contact information (Email, Phone Number, Address, Suburb, Post Code)

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* 3. Are you family member or friend of a young person who has been supported by headspace?

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* 4. Is this something you would be happy and feel comfortable to talk about?

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* 5. Do you speak any languages other than English at home?

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* 6. Where were you born?

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* 7. Do you identify as Aboriginal or Torres Strait Islander?

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* 8. Please describe what skills or ideas you would bring to the Family & Friends Reference Group

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* 9. Are you involved in any other organisations?
If yes, please describe which organisations and your involvement.

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* 10. Which timeslot would you be available to participate in meetings?

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