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Thank you for nominating a deadly woman to the program...

This opportunity is only open to women who identify as Aboriginal and/or Torres Strait Islander, although non-Indigenous peoples are invited to nominate an Aboriginal and/or Torres Strait Islander female Changemakers' making positive contributions to community. This program fosters a safe and supportive environment and Trans women are welcomed and encouraged to be nominated.

 If the Changemaker you are nominating is under the age of 25 years, please nominate her as an Emerging Changemaker. 

The application form includes a series of brief questions, please feel free to write as little or as much as you feel. 

Please note, once you start this application you will be unable to save and return to it later. We encourage you to only start this application when you have 10-15 minutes to complete it. Good luck!

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* 1. Your name and contact details

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* 2. Name of nominated Changemaker:

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* 3. Age of nominated Changemaker:

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* 4. Did you seek consent from this woman before nominating her to the Yanalangami program?

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* 5. We require you to let her know that you have nominated her to this program. In doing so, we ask that you share the Yanalangami website and program information with her. 

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* 6. Which state or territory does your Community Changemaker live in?

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* 7. Does the Community Changemaker identify as Aboriginal and/or Torres Strait Islander?

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* 8. Who is their Mob and/or Community? (If known)

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* 9. Contact details for Changemaker:

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* 10. Which program are you nominating this Changemaker to?

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* 11. Please tell us about your Changemaker.

We would love to hear about your Changemaker’s journey so far, the things she is passionate about, the people or organisations she has collaborated with, anything she brings to community, why she serves community and what dreams she has for community.

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* 12. Why do you think your Changemaker should participate in the Yanalangami: Strong Women, Strong Communities Program?

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* 13. In what ways do you think your Changemaker will learn, grow and benefit from the Strong Women, Strong Communities Program and how will it positively impact her community?

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* 14. In what ways would you describe your Changemaker as a leader?
Please tell us about a leadership challenge she has faced and how she has overcome it, or is currently working to overcome.

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* 15. Has your  Changemaker previously participated in any other mentoring, leadership, empowerment or changemaker programs? If so, please tell us about them.

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* 16. Are there any resources or tools that you think would help her to make positive community change?
This could be anything from courses they might like to do, to the equipment they may need.

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* 17. How did you hear about this program?

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* 18. Please confirm that you have read, understood and agreed to the Yanalangami Terms and Conditions (available on our website)

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