Launceston Advocates for Change - Expression of Interest

Launceston Expression of Interest

Please complete by COB Friday 29th March 2019
We recognise that much of the following requested information is both personal and sensitive. We have requested the information to be aware of relevant risk and safety implications, which is an important part of our role as facilitators.

You do not have to answer every question in order for your Expression of Interest to be considered, but please answer as much as you are comfortable with.

Engender Equality is committed to ensuring that your information is confidential. If you would like more information about our Privacy Policy, please contact us via email office@engenderequality.org.au.
Name

First Name Last Name
Email
Please provide an email address regularly, as this will be the main way we communicate with you.
Phone Number
Please only provide a phone number for us to call you on if it is safe to do so.
Which area of Tasmania do you live?
Age

18-24 years 25-34 years 35-44 years 45-54 years 55-64 years 65+ years
How would you describe your cultural background?
What key messages about your experience as a survivor of family violence/abuse would you like to get across?
What relationship did the perpetrator have to you? (eg. partner, father, family member, carer etc).
How long is it since the family violence/abuse was occurring?
Do you have any ongoing support and/or counselling services in place?
Do you have any allergies or special dietary requirements?
WHAT HAPPENS NEXT?

All completed expressions of interest will be considered for a pre-training interview.

After 29th of March, you will be contacted via email to advise if your Expression of Interest will move to the pre-training interview.

The interview is an informal conversation either in person or over the phone or Skype to discuss the program, for us to meet you and you to meet us.

After the interview process, Engender Equality will contact you to advise if you have a place in Advocates for Change Program.
Should be Empty:

Launceston Expression of Interest