headspace Reference Groups
headspace Echuca are looking for young people aged 16-25 and family / friends that want the opportunity to be heard and be active around youth issues. The group is excited to include and hear the voices of a diverse range of young people. As a reference group member you will play a part in a number of roles such as help lead and organize a project, have a voice for young people and a say in youth issues that effect our area and more!
Application form:
Youth Reference Group
Family Reference Group
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone number
Please tell us a little about yourself:
Please outline why you are interested in becoming a Reference Group member:
What skills/ideas could you bring to the Reference Group?:
Are you involved in any other voluntary organisations? If yes, which ones and what is your involvement?
Submit
Should be Empty: