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YAG Application Form

Name(Required)
MM slash DD slash YYYY
Cultural Background (if applicable)(Required)
Gender(Required)
Working with Children Check(Required)
eg. First Aid Certificate, Bachelor of Public Health etc.
Please rank your confidence to:
Seek professional help for an AOD, mental health or other wellbeing concern(Required)
Support a friend to seek help for an AOD, mental health or other wellbeing concern(Required)
Share AOD prevention and health promotion messages with your friends(Required)
Share prevention and health promotion messages with your friends(Required)
Know what to do if you are worried someone is at significant risk of harm(Required)
Facilitate health promotion workshops and presentations to young people aged 12 – 25 years(Required)
Will you be able to attend YAG meetings, held on Tuesdays or Thursdays each month from 5.30 pm – 7.30 pm? (If you cannot attend meetings on a Tuesday or Thursday night please advise what nights you are available)(Required)
Will you be able to attend peer education workshops and other events (choose all that apply)?(Required)
All YAG members are required to attend an induction, orientation and training session. Which session can you attend? (Choose all that you are able to attend).(Required)
MM slash DD slash YYYY
The collection of personal details is for administration purposes only. Youth Solutions will respect the confidential nature of this information.
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