Expression of Interest Form | Carer Reference Group

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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. I'm a

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* 5. How long have you been a carer for?

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* 6. Do you identify as:

Aboriginal

Torres Strait Islander

Aboriginal and Torres Strait Islander

N/A

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* 7. Child Safety Service Centre

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* 8. Agency

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* 9. Main priorities, areas and/or needs of carer to be addressed:

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* 10. Preferred means of participation in group:

Individual

Forum

Online

Phone

Thank you for completing the EOI form.
Please allow up to 10 working days for a QFKC staff member to make contact