Online Form - 2024 - Youth Advisory Council - Nomination

First name*

Last name*

Nominating agency (if applicable)

Age*

15161718192021222324

Email address*

Phone number*

Address

Gender

Language group

Cultural Background

AboriginalTorres Strait IslanderBothOther

Why do you want to join the Hedland YAC?*

If you wish to upload a video or speech (maximum 5-minute) or presentation to cover the above question, upload here

Max File Size: 12.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .pdf, .png, .ppt, .pptx

What are some personal attributes or experiences that you could offer the Town of Port Hedland YAC?*

What do you think the priorities for the Town of Port Hedland YAC should be in 2024?*

What does it mean to be a leader?*

What does community mean to you?*

I declare that I am between 15 and 24 years of age*

I understand that I require authorisation from Parent/Guardian if I am under 18 years of age*

YesNoN/A

Interested in promoting young people’s ideas, skills, perspectives and contributions to better inform the Town of Port Hedland on youth related matters?