First Nations The Voice

To sign up to the Voice to Parliament campaign, please fill in your details below:

Name*

First NameLast Name

Email*

example@example.com

Mobile Number

Phone Number

Preferred contact method*

Location

Region*

Hours willing to volunteer

Do you have any special skills that you feel could add value to the campaign?

Are you happy with your information being shared and visible with the YES campaign coordinators for Queensland and Australia?*

YesNo

Are you Aboriginal?*

YesNo

Are you Torres Strait Islander?*

YesNo

Authorised by B. Mohle, Secretary, Queensland Nurses and Midwives’ Union, 106 Victoria Street, West End 4101.