headspace Hawthorn & headspace Malvern Youth Advisory Group (YAG)

Application Form

Who can apply?

Anyone aged between 16 and 24 years who is passionate about youth mental health and wellbeing.

We actively encourage applications from all young people, but particularly want to hear the voices of:

Young people with lived experience of mental illness and/or have accessed headspace services in the past
Aboriginal or Torres Strait Islander young people
Young people from diverse cultural backgrounds
Young people who identify as trans or non-cis
Young people with a disability
Young men

Please read the position description carefully before completing this application form. It provides information about the roles and responsibilities, and benefits from being a part of the YAG.

Applications close on Monday 22nd January 2024 at 11:59pm.

Personal Details:

First name: *

Surname (last name): *

Pronouns:

Date of birth: *

Mobile: *

Email: *

Street address: *

Suburb: *

Post code: *

About You:

The following questions are to find out a bit about you, so we can help you to feel safe and supported in the YAG.

These questions are optional - please provide the details you feel comfortable sharing.

Do you identify with any of the following? You can choose more than one answer.

International studentYoung person with a disability Refugee or asylum seeker background Aboriginal or Torres Strait IslanderLesbian, gay, bi-sexual, transgender, queer, intersex, asexual (LGBTQIA+)Young carerDiverse cultural backgroundYoung person living with a mental illnessNone of the above

What languages do you speak at home?

What is your cultural background?

Do you have any accessibility requirements?

Tell us a bit about yourself! We want to know about your hobbies, interests and passions. *

Why would you be a great YAG member? What are some of your skills, talents, ideas or attributes? *

What are you hoping to get out of the YAG? *

What is your current availability? Please explain your commitments to work, study or other volunteering. *

Is there anything else you want to share with us?