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National Register of Mental Health Consumer and Carer Representatives - Application Form Name: Emily Cherrie Summers Tel: 0247822980 Email: emilycherriesummers@yahoo.com.au Mob: 0429922710 Address : 56 First Avenue Katoomba Postcode: 2782 Do you currently identify as a mental health consumer or carer? (whilst some people identify as both for the purposes of this application please pick which one you most identify with) Consumer Do you identify as a member of any of the following groups: ● CALD (culturally and linguistica lly diverse) N ●  ATSI (Aborig inal or Torres Strai t Islander) My twin daughte rs do N ● Youth (18-25 years old) N ● Older people (65+ years old) N ● Other minority group (please specify) Please provide concise answers to the following questions. Do not exceed 300 words per question. 1. Please detail your reasons for applying for the National Register program including what you have to offer as a national representative of mental health consumers/ carers. I am a survivor who lives with Dissociative Identity Disorder . I have worked for the Departmen t of Ageing, Disability and Home Care as a Level 3 Carer from 1989 to 2004. I also have experience with ADHD, as my son lives with this; ODD as my twin daughters live with this and also Bipolar Disorder, as my oldest daughter lives with this. I have an Assoc iate Diploma in Social welfare; Mental Health Council of Australia, Ph:(02) 6285 3100, Fax:(02) 6285 2166, E-mail: natr eg @ mhca .org .au , www.mhca .org .au National Register Program Application Form, September 2010

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mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
http://www.google.com/url?q=http%3A%2F%2Fwww.mhca.org.au%2F&sa=D&sntz=1&usg=AFQjCNHRobtOptPLfLBQul-hh3Mg8ocJOQ
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http://www.google.com/url?q=http%3A%2F%2Fwww.mhca.org.au%2F&sa=D&sntz=1&usg=AFQjCNHRobtOptPLfLBQul-hh3Mg8ocJOQ
http://www.google.com/url?q=http%3A%2F%2Fwww.mhca.org.au%2F&sa=D&sntz=1&usg=AFQjCNHRobtOptPLfLBQul-hh3Mg8ocJOQ
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