Central Goldfields Youth Council Expression of Interest | Engage Central Goldfields Shire Council

1.

Name

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Maximum 255 characters

0/255

2.

Date of Birth

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3.

Email

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4.

Phone Number

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Maximum 255 characters

0/255

5.

Address

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6.

Gender

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Select option

7.

Do you identify as Aboriginal or Torres Strait Islander?

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Select option

8.

Do you have a disability?

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Select option

9.

Are you a carer?

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Select option

(a carer is someone who has primary responsibility for looking after a family member, such as child, parent or sibling)

10.

Do you identify as LGBTQIA+?

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Select option

11.

How are you connected to the Central Goldfields?

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tick all that apply

12.

Are you able to commit to the meeting schedule outlined on this page?

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Yes

No

13.

Do you need to support to attend meetings / activities?

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No

Maybe

Yes

14.

Why do you want to join the Central Goldfields Youth Council?

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15.

What are you passionate about?

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16.

What do you think is important for young people in your community, and why?

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17.

Do you have experience as a leader or volunteer at school or in your community? Please give examples.

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18.

What are you hoping to learn or achieve as a Youth Councillor?

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