Reference group EOI form

To ensure we represent current best practice from across the LGBTQIA+ community and the Mental Health and AoD sector, we are inviting individuals with relevant experience to join a reference group to provide input and feedback to the development of Queer Company reference materials.  
Members will be required to respond to draft documents via meetings, emails and Teams conference calls in a timely manner as Queer Company is developed over the next twelve months. 

You can send your EOI by filling out and submitting this survey.

Please note we have limited spaces available. 

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* 1. What is your preferred name?

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* 2. What are your pronouns?

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* 3. Your contact email

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* 4. How old are you?

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* 5. How would you describe your sexual orientation/attraction?

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* 6. How would you describe your gender identity?

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* 7. What is your ethnicity?

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* 8. Do you have an Intersex variation?

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* 9. What are your motivations for being a part of our community reference group? (100 words or less)

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