People Bank: tell us about you

Thanks for registering to be a part of the Jean Hailes People Bank.

Please provide your contact details and areas of interest so we can contact you with suitable and relevant opportunities in the future.

By submitting this form, you understand that your details and personal information will be dealt with in accordance with the Jean Hailes Privacy Policy. Jean Hailes may occasionally email you opportunities where consumer participation is sought. You can opt out from receiving communications related to People Bank at any time.

Question Title

* Your contact details

Name *

Post code *

Email *

Phone number (optional)

Question Title

* Gender: How do you identify?

Female

Non-binary

Male

Other

Prefer not to answer

Question Title

* Which type of location best describes where you live?

Metro

Regional

Rural or remote

Question Title

* In what year were you born? (enter 4-digit birth year; for example, 1976)

Question Title

* In which country were you born?

Question Title

* What language do you mainly speak at home?

English

Other (please specify)

Question Title

* Are you of Aboriginal or Torres Strait Islander origin?

Yes

Prefer not to answer

Question Title

* Do you have a disability (physical, mental, sensory or other types of disability)?

Yes

Prefer not to answer

Question Title

* Do you have, or have you had, a transgender identity, experience or history?

Yes

Prefer not to answer

Question Title

* What is your work status?

Employed full-time

Employed part-time

Home duties full-time

Carer / unpaid

Student

Retired

Unemployed

Prefer not to answer

People Bank: tell us about you

Thanks for registering to be a part of the Jean Hailes People Bank.

Question Title

* Your contact details

Question Title

* Gender: How do you identify?

Question Title

* Which type of location best describes where you live?

Question Title

* In what year were you born? (enter 4-digit birth year; for example, 1976)

Question Title

* In which country were you born?

Question Title

* What language do you mainly speak at home?

Question Title

* Are you of Aboriginal or Torres Strait Islander origin?

Question Title

* Do you have a disability (physical, mental, sensory or other types of disability)?

Question Title

* Do you have, or have you had, a transgender identity, experience or history?

Question Title

* What is your work status?

Question Title

* What is the highest level of education you have completed?

Question Title

* Where did you hear about Jean Hailes People Bank?