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 Cockburn Youth Advisory Collective? (Tick as many as needed):





The Youth Advisory Collective meetings are held fortnightly on Tuesday (5:00pm - 6:00pm) 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 [email protected]
 

Related Pages

Contact

Address

City of Cockburn
Whadjuk Boodja
9 Coleville Crescent,
Spearwood 6163

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

Office opening hours:
8.30am to 4.30pm
Monday to Friday (excluding public holidays)

Language Support

Social Media

Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaadatj dayin boodja, kep wer malayin. Ngalak kaadatj koora koora wer yeyi ngalang birdiya.

City of Cockburn acknowledges the Nyungar people of Beeliar boodja. Long ago, now and in the future they care for Country.
We acknowledge a continuing connection to land, waters and culture and pay our respects to the Elders, past and present.