Youth Advisory Council (YAC) Upper Coomera Application Form
Personal & Contact Details
Full Name
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First Name
Last Name
Pronouns
Date of Birth
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Month
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Day
Year
Date
Mobile Number
Email
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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 and 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 or 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 etc.
Why do you want to be a part of headspace Upper Coomera's YAC?
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Here are some examples of projects YAC has worked on in the past. Let us know what might interested you:
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Hosting headspace promotion stalls in the community
Organising events e.g Youth and Mental Health Week, NAIDOC week, Pride Month
Sitting on interview panels to help recruit headspace staff
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 school 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"
Do you have any skill, 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 LGEBTIQAP+ advocacy
Can you describe a group project you have been part of?
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Examples: school or uni group project; organised an event: worked or volunteers in a team; involved in a performance event e.g. dance or musical theatre
Please tick below if you can commit to any of the following:
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Face-to-face meetings every 3 weeks on Tuesdays; 4pm-6pm
Regular email/WhatsApp contact
Working on projects/attending events outside of designated meetings times
Lead/join projects within YAC
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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