headspace Southport Youth Advisory Council (YAC) Application Form
We are now accepting new members. Apply today!
Personal & Contact Details
Full Name
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First Name
Last Name
Pronouns
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Date of Birth
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Month
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Day
Year
Date
Phone Number
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E-mail
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example@example.com
We strongly encourage young people from diverse backgrounds to apply for YAC. The below questions are personal and optional to complete. If you are uncomfortable with answering these questions, please just leave blank.
Please tick below if you identify with one or more of the following
Aboriginal & Torres Strait Islander
LGBTIQAP+
Living with a Disability
Culturally & Linguistically Diverse
YAC is an inclusive space for everyone. As a way to advocate, members may want to share their lived experience of mental health or other life challenges. Please tick below if you identify with experiencing one or more of the following
Mental health challenges
Concerns or difficulties with alcohol & other drugs
Caring for someone with mental health and/or alcohol and other drug challenges
Chronic Health and/or a disability
Homelessness/housing insecurity
Have used a headspace service e.g. Headspace Primary, Lighthouse, Headspace Early Psychosis
We want to get to know you!
Tell us a bit about yourself!
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Tip! What are you interested in, a unique life experience, your biggest achievement
Why do you want to be part of headspace Southport's YAC?
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Here are some examples of projects YAC has worked on in the past. Let us know what might interest you:
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Hosting headspace promotion stalls in the community
Organising events e.g. Youth & Mental Health Week, NAIDOC, Pride Month
Sitting on interview panels to help recruit headspace staff (for members 18+ yrs old)
Running fun and creative activities for young people who are on the waitlist for mental health support
Marketing & Social Media campaigns that will appeal to young audiences
Public speaking opportunities in schools and at industry events
Give feedback on the service to make it feel youth-friendly e.g. changing the language on forms and waiting room projects like a “meme board”
Apply to attend headspace National Conference as a youth representative
Do you have any skills, talents or passion areas that you can share with YAC?
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Tip! Tell us about any hidden talents you may have (like making epic TikTok reels) or passion areas such as LGBTIQA+ advocacy
Can you describe a successful group project you have been part of?
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Examples: school or uni group project; organised an event; worked/volunteered in a team; involved in a performance event e.g. dance or musical theatre
Please tick below if you can commit to the following:
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Fortnightly Meetings Southport - Tuesday 5pm - 7pm
12 month membership with YAC
Working on projects outside of designated meeting times
Regular Email / WhatsApp contact
How did you hear about our Youth Advisory Council?
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Social Media
Website
School /Uni/Tafe
Word of mouth
Other
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