Client Advisory Group – Expression of Interest Form
You
A few quick details to help us get in touch with you and make sure we have a diverse mix of member perspectives.
Name
First name
Last name
Preferred name (if applicable)
Preferred pronouns
Mobile phone number
Format: 0000000000.
Email address
Age group (Client Advisory Group members must be over the age of 18.)
18-24
25-44
45-64
65+
Do you identify as being from a culturally or linguistically diverse background?
Yes
No
Prefer not to say
What state or territory do you live in?
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Do you live in a:
City/urban area
Regional area
Remote area
Your experience
This helps us understand your perspective and what you'd like to bring to the group.
Are you:
A National Disability Insurance Scheme (NDIS) participant and a My Plan Manager client
A family member/guardian and NDIS plan nominee of a My Plan Manager client
Please tell us about your lived experience of disability. (Share as much or as little as you're comfortable with - for example, your experience with the NDIS, plan management services, or the kind of support you use day-to-day.)
Why would you like to join the Client Advisory Group? (You might like to share what’s most important to you, or ideas or areas where you think our services could be improved.)
Your participation
Just a few practical (but important) things so you know what to expect.
The Client Advisory Group meets online up to four times each year, with meetings held on Microsoft Teams.
I understand the commitment and have access to the internet and a device to participate.
Do you need any support to take part in the group? (tick all that apply)
Interpreter (Auslan or other)
Live captioner (Microsoft Teams features auto captioning, however it’s not as reliable as a live captioner – if you rely on captions please let us know so we can ensure accessibility.)
Communication support
Easy read or Plain English documents
Help with technology
Something else (please tell us below)
Other support required
Is there anything else you'd like us to know? (This could be anything you haven’t had a chance to share that’s important to you, or something you think we should understand about your experience.)
Submit
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