Youth Reference Group @ headspace Mildura
Use this form to register your interest in joining the headspace Mildura Youth Reference Group
If you are aged 12-25 and are passionate about the health and well being of other young people, you should apply to be part of the headspace Mildura Youth Reference Group.

This group aims has multiple roles and opportunities. These include; helping to ensure we are a youth friendly service, attending and creating events in the local community, learning new skills through training and sharing your experience of what is like to be growing up in this region.

The group meets every two weeks, in addition to opportunities that come up in between.

First name
Your answer
Surname
Your answer
Phone number
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Email Address
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Date of birth
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Tell us why you'd like to volunteer at headspace Mildura.
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Why are you passionate about the health of young people?
Your answer
Have you or someone you know used headspace or other similar services?
If you answered yes for the previous question, would you be willing to share these experiences?
Emergency Contact (Full Name)
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Emergency Contact Phone
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