YOUTH HEALTH FORUM – EXPRESSION OF INTEREST FORM

Title:

First name:

Surname:

Date of Birth:

Address:

Mobile:

Email:

This question is optional.

Do you identify as a member of any of the following groups:

Aboriginal or Torres Strait Islander Yes / No

Culturally and linguistically diverse (CALD) Yes / No

Rural and remote Yes / No

People with a disability Yes / No

LBGTQI+ Yes / No

Young carer Yes / No

Experiencing or have experienced homelessness Yes / No

Have had contact with the criminal justice system

1

Yes / No How did you hear about the Youth Health Forum?

Please provide short (250 word) answers to these questions.

1. Why are you interested in being part of the Youth Health Forum?

2. What are some of the challenges that young Australians face when looking for or accessing health and wellbeing services?

3. The Corona Virus (COVID-19) is challenging the way our health system works, in particular a lot of services are moving to online delivery. What do you hope this will look like? Does any part of this change concern you?

4. Do you have experience as an advocate, peer support worker,

or volunteer? If not, what appeals to you about getting involved in healthcare advocacy?

2

5. Do you have any access requirements or care support needs that we can assist you with?

Expressions of interest must be sent to c.thompson@chf.org.au 8 May 2020.

3