SHARC Introduction to Peer Work Registration Questionnaire
1. Name:
*
Given Name
Surname
2. Contact Phone Number:
*
3. Email:
*
example@example.com
Do you identify as Aboriginal and/or Torres Strait Islander?
*
Please Select
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Neither
Do you identify with having AOD lived experience?
*
Yes
No
Do you currently reside in Victoria, AUS?
*
Yes
No
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Have you completed or are you booked in to complete SHARC's Peer Worker Training?
*
Yes
No
5. Are you currently in a lived/living experience role?
*
Yes
No
6. If yes, what is your role title and which organisation do you work for?
*
8. How would you best describe peer work?
*
9. What interests you about becoming a peer worker?
*
10. Have you completed any previous trainings or courses related to peer work?
*
11. How did you hear about this session?
*
Peer Projects Mailing List
Basecamp
Social Media
VAADA
Word of mouth
Other
If other, please specify.
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Thank you for taking the time to answer these questions to register your interest in SHARC's Introduction to Peer Work. Please be assured that your responses will be kept confidential and private and only used to gauge the suitability of this session for you.
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