YAC Application Form

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Name* This field is required.
First Name
Last Name
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Pronouns* This field is required.
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Age* This field is required.To be eligible to apply for YAC you must be aged between 15 – 25
Age
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Phone Number* This field is required.
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Email* This field is required.
example@example.com
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Please tick below if you identify with one or more of the following
Aboriginal & Torres Straight Islander
LGBTQIA+
Living with a Disability
Culturally & Linguistically Diverse
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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
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Tell us a bit about yourself!* This field is required.Tip! What are you interested in, a unique life experience, your biggest achievement?
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Why do you want to be part of headspace YAC?* This field is required.
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Here are some examples of the opportunities with being involved in YAC. Let us know what might interest you:
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
Running fun and creative activities for young people who are on the waitlist for mental health support
Marketing and Social Media compaigns
Public speaking opportunities in schools and community events
Give feedback on the service to make it feel youth-friendly e.g. changing the language on forms and waiting room projects
Apply to attend headspace National Conference as a youth representative
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Do you have skills, talents or passion areas that you can share with YAC?* This field is required.Tip! Tell us about any hidden talents you may have (like making epic Instagram reels) or passion areas such as LGBTQIA+ advocacy
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Can you describe a successful group project you have been part of?* This field is required.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
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Please tick below if you can commit to the following:* This field is required.
Meetings every 3rd week at Caloundra - Tuesdays (time TBA)
12 month membership with YAC
Working on projects outside of designated meeting times
Regular email/WhatsApp contact
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How did you hear about our Youth Advisory Council?
Social Media
Website
School/Uni/Tafe
Friend or family
Community Organisation
Other
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