To be involved in Multicultural NSW new regional engagement program, please complete the registration form adding in as much detail as possible. You will be notified once your registration has been received.
First Name:*
Last Name:*
Preferred Name:
Do you identify as:*
Residential Suburb:*
Residential Postcode:*
Email:*
Contact Number:*
Preferred method of contact:
Phone
Email
Other language(s) spoken:
Cultural Heritage:
Religion:
If you were born outside of Australia, can you please let us know which Country:
What is your employment status?
If you are employed, can you tell us about:
Employer:
Job title:
Industry:
Expertise: (e.g. mental health, youth etc.)
Employer postcode:
Work email:
If you are studying, can you tell us about:
Where you study? (Name of tertiary institution)
Area of study:
If you are a volunteer, can you tell us about:
Name of the organisation you volunteer for?
Specify area(s) of focus for this organisation? (i.e. Settlement, health, youth)
If you are retired:
What was your area of expertise/speciality?
What lived experience and expertise can you contribute to the Multicultural NSW Regional Engagement Program?*
Why would you like to join the REP?*
What engagement activities are you interested in?*
Do you require any modifications/assistance to participate in our engagement offerings?
Any comments/feedback or special requests?
