headspace Casey/Cardinia Youth Advisory Committee (YAC) Application

headspace Casey/Cardinia Youth Advisory Committee (YAC) Application

Are you aged between 16- 25 and passionate about youth mental health in your community? Have a big idea for an event, campaign or a group? Are you keen to step into a volunteer role with the headspace Narre Warren/Pakenham Youth Advisory Committee (YAC)? Fill out the below form and we will get back to you about the next steps! All information will be kept strictly confidential. If you're not comfortable answering any of the questions please leave that space blank (bearing in mind that we will need certain contact details to talk to you about your application!). If you have any questions while filling out the form contact headspace Narre Warren or Pakenham on 1800 367 968 or Request.headspaceCC@EACH.com.au
Personal Details
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
What is your preferred method of contact?

Phone CallText MessageEmailAny of the above
Pronouns? (e.g She/He/They)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth

DayMonthYear
Date
Are you aged between 12 - 25, and live in or have a strong connection to the Casey/Cardinia region?

YesNo (If not, you unfortunately do not qualify for this role)
What languages do you speak?
Which cultural background/s do you identify with?
Do you or your family identify as being Aboriginal and/or Torres Strait Islander?

Yes, AboriginalYes, Torres Strait IslanderYes, both Aboriginal and Torres Strait IslanderNoUnsurePrefer not to answer
Do you identify with the LGBTIQA+ community?

YesNoUnsurePrefer not to answer
Have you or your family ever experienced homelessness or housing insecurity?

YesNoUnsure
Do you have a lived experience of Mental Health (This is not a requirement and no answer you give will reduce your chances)

YesNoUnsure
Do you currently study/Have you studied in the past? If so, what have you studied?
Are you currently employed or volunteer elsewhere?
About you....
Can you tell us why you are interested in joining the headspace YAC?
What passions, skills and ideas would you bring to the YAC?
Are you/ have you been involved with any other organisations or groups? Please tell us about them!
We currently meet every second Monday from 4:30 - 6 at headspace Narre Warren. Are you available to make those meetings?

YesNo
Tell us about yourself! What do you like to do for fun? Do you have any other questions? Feel free to leave any comment in this space
Thank you for your time. When you are happy with your answers please hit the 'submit' button below. Someone will be in touch with you to discuss your application shortly.
How did you find out about this application?

Via the headspace websiteFrom a headspace WorkerLocal Youth servicesThrough a friendOn a job listing websiteOn Instagram/FacebookOther
Should be Empty:

headspace Casey/Cardinia Youth Advisory Committee (YAC) Application

Personal Details

About you....