Creating Greatness - Expression of Interest

EXPRESSION OF INTEREST
Creating Greatness - Discovering and Empowering Me
Creating Greatness – Discovering and Empowering Me is a trauma-informed, culturally safe, peer-led healing initiative designed for all Womyn, with particular responsiveness to those who have experienced domestic violence (DV), sexual assault (SA), and/or incarceration. The program is especially attuned to the lived realities of Aboriginal and Torres Strait Islander Womyn, whose healing journeys are shaped by intergenerational trauma, systemic injustice, and cultural disconnection.

Facilitator: Leanne Phillips 10-Week Program Trauma-Informed & Culturally Safe
This form is a safe and confidential space. You are invited to share only what feels right for you. There are no right or wrong answers — your story and your voice matter here.
YOUR DETAILS
Preferred Name *
Legal Name (if different)
Pronouns *
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number *
Format: (000) 000-0000.
Email Address
example@example.com
Location / Suburb *
CULTURAL IDENTITY
Do you identify as Aboriginal and/or Torres Strait Islander?
Country / Mob (if applicable) Share if you feel comfortable
Do you speak a language other than English at home?
HOW DID YOU HEAR ABOUT US?
How did you find out about Creating Greatness? *
Creating Greatness All information held in strict confidence Page

EXPRESSION OF INTEREST
Creating Greatness - Discovering and Empowering Me
Facilitator: Leanne Phillips 10-Week Program Trauma-Informed & Culturally Safe
How did you hear about us?
If referred by a service, please name the organisation or worker (optional)
SUPPORT NEEDS & ACCESSIBILITY
Do you have any accessibility needs or requirements we should know about? e.g. mobility needs, hearing support, childcare, transport barriers - we want to make sure you can fully participate
Is there anything that would help you feel safe and welcome in the group?
YOUR WHY
Why would you like to attend Creating Greatness? This is your space to share your story, your hopes, and what brings you here. There is no right or wrong answer - your words, in your way, are enough.
GIVING BACK
How do you see yourself sharing the learnings of this program with your community? Creating Greatness is built on the belief that healing ripples outward. We'd love to hear how you imagine passing on what you've gained - in big or small ways.
Creating Greatness - All information held in strict confidence Page

EXPRESSION OF INTEREST
Creating Greatness – Discovering and Empowering Me
Facilitator: Leanne Phillips 14-Week Program Trauma-Informed & Culturally Safe
YOUR GOALS
What areas of your life would you most like to focus on through this program?
You may tick more than one
What areas of your life would you most like to focus on through this program?
Is there anything else you would like us to know about you or your journey? Anything at all – you are welcome to share as much or as little as you choose
DECLARATION
By submitting this Expression of Interest, you acknowledge that the information you have shared is true to the best of your knowledge. Your details are held securely and in confidence and will only be used to support your participation in the Creating Greatness program. Submitting this form does not guarantee a place in the program. You will be contacted to discuss your registration.
Creating Greatness. All information held in strict confidence Page
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EXPRESSION OF INTEREST