Welcome!

This form will help us understand a bit more about you and should take approximately 15 minutes to complete.

It is really important for us to ensure that you are in the best possible place to be coming along to one of our workshops, so we will be asking some questions about your mental health history and your current supports.

Privacy Information Collection Form

Your personal information:
We handle your personal information in accordance with the Privacy Act 1988 and any applicable state legislation with respect to privacy.

In completing our online surveys or discussing your experiences with us, you are providing us with your personal information. We collect this information for the purposes of developing, tailoring and delivering our preventative education programs in the area of young people’s mental health and for our impact reporting.

We don’t disclose your personal information to other parties. We would only do this is if it was permitted by law, for example, if there is an imminent risk to your health or safety.

The information you supply is voluntary, and there are no consequences if the information (or any part of it) is not provided. For further information, please access our Privacy Policy which includes information about how to seek access to the information we hold about you, how to request corrections to that information and how to make a complaint if you feel we have not handled your personal information appropriately. You can access our privacy policy here.

Our contact information:
We are batyr, ABN 51 152 952 737. If you would like to contact us regarding our collection of your personal information, please contact: hello@batyr.com.au.

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* 1. First name

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* 2. Last name

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* 3. Which gender identity do you most identify with?

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

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* 5. Date of birth

Date

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* 6. Age (please note you must be aged between 18-30)

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* 7. Email

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* 8. Phone

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* 9. Suburb

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* 10. State

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* 11. Postcode

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* 12. Emergency contact’s full name

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* 13. Emergency contact’s phone number

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* 14. Emergency contact’s relationship to you

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* 16. Are you currently receiving any Government payments?

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* 17. I am currently:

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