headspace Frankston - Community Activity Request Form

Community Activity Request Form
This form allows us to collect information to best understand your request. There are some questions that are required to be filled in - they are marked by an aterisk (*).
Contact Name:*

First NameLast Name
Organisation Name:*
Address of requested activity*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Preferred date of activity*

DayMonthYear
Start Time*

:HourMinutesAM/PM Option
End Time*

:HourMinutesAM/PM Option
What topic(s) do you want covered?*

General Youth Mental HealthTips for a Healthy headspaceheadspace Services OverviewSelf CareOther (please specify below)
Please note, 'other' presentations are not standard and will need to be negotiated. They may incur a fee due to the extra resource required.
Other - Please give detailed overview of request:
Audience*
If 'other', please specify:
What kind of space/venue will the activity be in?*
Will there be access to a laptop, internet connection and screen?*
Is there anything else we should know about the audience? Examples include recent trauma, young parents, LGBTIQ, Koorie, Disability etc.*
Number of people in audience*
Does the audience have prior knowledge on the topic? Please give details.*
What kind of follow up support will be provided for young people for whom this presentation may trigger issues?*
Additional information
headspace Frankston receives a large number of requests from the community, yet we have very limited resources. Therefore, we must prioritise requests according to the areas of greatest need, staff availability, demand and fair and equitable coverage of the local community.

Priority is given to the following local organisations:
- Schools & education providers (eg. Community VCAL, university students)
- Youth organisations
- Our partner organisations
- Community organisations, charities and not-for-profits with a youth and/or mental health focus
- Family & Carer support organisations
Requests from other types of organisations will be considered on a case-by-case basis.

We are unfortunately not able to fulfil all requests. Allowing at least 8 weeks notice will increase the likelihood of us being able to fulfil your request.

Depending on what type of organisation you are, our community activities are mostly free or low cost. Some requests may incur larger fees to cover part or all of our costs due to the nature of the activity (for example, requests from commercial organisations, weekend and evening requests, specialised content etc).

Once you have submitted your form our team will review the request and aim to respond within 10 working days.
headspace National Youth Mental Health Foundation is funded by the Australian Government Department of Health

headspace Frankston

62 Playne Street, Frankston, VIC, 3199

Phone: 9769 6419

Email: headspace@headspacefrankston.org.au
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