Gawler Youth Advisory Committee - Expression of Interest Form

Required fields are marked with an asterisk (*).

Your Details

Full Name *

Phone *

Email *

Address *

Postal Address (if different from above)

Post Code *

Date of Birth

Gender *

Your Skills

Do you attend School / TAFE / UNI/ Other? Specify where and what course:

Do you work? Where and suburb:

Please list any organisations/groups you are a part of (sporting group, community club):

Why are you interested in joining Gawler Youth Advisory Committee?

What personal qualities, skills and/or strengths can you offer the Gawler Youth Advisory Committee?

Referee 1

Full Name

Relationship to you

Phone

Referee 2

Full Name

Relationship to you

Phone