HubbleGC Website Registration Application Form

HubbleGC Website Registration Application Form

Complete this form to become a Community Connector on the HubbleGC Website.
Our Vision: Our community connected
Our Mission: HubbleGC is a place where young people belong - to enhance the lives of youth and the future of our community; by creating pathways and tools to navigate challenges, discover opportunities and to help chart their direction.
This form has three sections

1. About your organisation 2. Community connector organisation details to be uploaded to HubbleGC website. 3. Community connector organisation's event registration, to be shared on HubbleGC social media and HubbleGC website.
Important information

This form is for Community Connectors who provide services and support for the youth (12-25 yrs) of the Gold Coast to tell us about what you do, HubbleGC will assess your application and successful applicants will be uploaded to the HubbleGC website.
If you have any questions about this form please email admin@hubblegc.com
Organisation & Contact Details
Organisation Name*
Contact Name*
Contact Role/Position*
Contact Mobile Number*
Contact Email *
1. About Your Organisation
Organisation ABN*
What is the registration status of the organisation? Eg Incorporated Association, Charitable, Company, etc.*
What is your organisation's primary service?*
How long has the organisation been providing this service?*
Who is your target audience?*
How does your organisation serve and support the youth of our community?*
YesNoOther
YesNo
2. Community Connectors - Services and Providers

Enter information here that will represent your organisation on the HubbleGC website
Organisation Address
Not require if your organisation provides online service only.
Organisation Phone Number*
Enter NIL if you organisation does not have a phone number. Enter As Above if organisation phone number is the same as primary contact.
Organisation Email*
Enter As Above if organisation email is the same as primary contact.
Organisation website*
EmergencySexual HealthMental HealthPhysical HealthAlcohol and DrugsMulticultural ServicesSexuality and GenderEmployment and TrainingLegal and FinancialEducationNeed a Bed/ FeedNeed a ChatArts and CultureAboriginal/Torres Strait Islanders ServicesCommunity and Environment
Hubble GC will work with you to select the best categories for your service once your application has been assessed.
Upload your logo here. (hi res jpg, pdf, psd)

You can upload multiple files
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Upload images here. (hi res. jpeg, png or pdf format)

You can upload multiple files
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3. Registering an Event and/or Activity

ONLY complete this section if you have an event or activity you would like to share with the youth community. (If you are not registering an event or activity, move down to terms and conditions below).
Event Name
Event Start Date
DD/MM/YYYY
Event Finish Date
DD/MM/YYYY
Event Opening Hours
Event Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Cost
If no cost indicate N/A
Event Description
Limit of 100 words
Arts and CultureCareers, Education and TrainingCommunityHealth and WellbeingMusicSports and RecreationOther
If other please provide details
Upload Logo here (hi res)

Cancelof
Upload Image/s here (hi res, jpg, png, pdf)

Cancelof
HubbleGC Terms and Conditions
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HubbleGC Website Registration Application Form

Our Vision: Our community connected

Our Mission: HubbleGC is a place where young people belong - to enhance the lives of youth and the future of our community; by creating pathways and tools to navigate challenges, discover opportunities and to help chart their direction.

This form has three sections

Important information

Organisation & Contact Details

1. About Your Organisation

2. Community Connectors - Services and Providers

3. Registering an Event and/or Activity