Youth Advisory Collective Application Form

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Youth Advisory Collective Application Form

All fields are required except where indicated
 

Applicant Details

Note: street number and street name are needed for all addresses

If you are under 18, please complete Parent Consent and Parent Details details below.
Gender:
Do you identify as Aboriginal or Torres Strait Islander?:
What is your occupation? (Tick as many as needed):








How did you find out about the Youth Advisory Collective? (Tick as many as needed):





The Youth Advisory Collective meetings are held fortnightly on Wednesday (5:30pm - 6:30pm) during the school term. Are you available to attend?:

If you are under 18, please complete Parent Consent and Parent Details details below.

Parent or Guardian Details

If you have any questions or queries please contact the Youth Development Officer on (08) 9411 3882 or email youth@cockburn.wa.gov.au
 
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Contact

Address

9 Coleville Crescent,
Spearwood 6163

Po Box 1215, Bibra Lake DC,
Western Australia, 6965

Visit the City of Cockburn homepage