Emerge & See The Next Shift Participant EOI
Expression of Interest for Emerge & See members applying for The Next Shift program. The program is designed for injured, transitioning, or former Emergency Service personnel and uses a trauma-informed, capacity-led approach. Please complete all required fields accurately so your application can be reviewed by the panel.
Participant full name
*
First Name
Middle Name
Last Name
App user name
Date of birth
*
-
Month
-
Day
Year
Date
Best contact email
*
example@example.com
Best contact phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current location (city/town and state)
*
Emergency Service Organisation
*
Please Select
Police
Fire
Ambulance
Corrective Services
SES
RFS
Surf Life Saving
AFP
Other
Current service status
*
Please Select
Current serving
Retired
Other
Years of service
Have you experienced workplace injury or mental health challenges?
*
Please Select
Yes
No
Prefer not to say
Current primary focus or goal for transition
*
Please Select
Start study or training
Explore a new career path
Start or grow a business
Rebuild wellbeing and routine
I'm not sure
Other
Which Next Shift pathway are you most interested in?
*
Contributor
Education
Recruitment
Veteran Entrepreneur
Not sure yet
Briefly describe your current situation and why you are interested in the Next Shift Program
*
What are your main goals for the next 6–12 months?
*
How ready do you feel right now to engage in work, education, or enterprise activities?
*
Please Select
Not ready yet - But want to explore options
I'm ready but not sure what I want
Very ready and know exactly what I want
What type of support do you feel you need right now to participate safely?
*
Transport support
Accessibility support
Interpreting or communication support
Flexible scheduling
Regular check-ins
Emotional support
Other
If you selected “Other” support needs, please describe
Do you have any current clinical, medical, or therapeutic supports in place?
Please Select
No current supports
GP or primary care
Mental health support
Allied health support
Disability support services
Other
Are there any factors that might affect your ability to participate? Do you need any adjustments?
How comfortable are you with engaging in group activities, workshops, or peer-based environments?
Please Select
Very comfortable
Comfortable
Somewhat comfortable
Not very comfortable
Prefer individual support
Other
Have you completed any of the below programs?
Please Select
Emerge & See Retreat
Beyond the Badge
The Changeroom Program
More than a Cop
Fortem Transition Program
Is there anything we should know to help keep your participation safe and sustainable?
What previous study, training, or qualifications or RPL do you have that you would like to use as a part of The Next Shift Program?
What types of roles, industries, or business ideas are you curious about?
What strengths, skills, or lived experience do you feel you bring?
Referral Source and Consent
How did you hear about the Next Shift Program?
*
Please Select
Peer
Nominated by The Next Shift
Emerge & See Website
Emerge & See Social Media
Emerge & See email
Beyond The Badge
The Change Room
Service or Treatment Provider
Event or presentation
Other
Please specify how you heard about the program
Consent to participation approach
*
I understand participation is voluntary, consent-based, and capacity-led, and I can pause or step back at any time without penalty
I understand that participating in Emerge & See The Next Shift requires a commitment that I am ready to engage with
Consent to be contacted about this Expression of Interest
*
I consent to Emerge & See / Beyond The Badge contacting me regarding my Expression of Interest
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