Youth Advisory Group Application Form

Your commitment to YAG:

The Youth Advisory Group (YAG) will meet on the first Thursday of each month at 4.30pm at the Eaton Shire Library with options to join the meeting online via teams.

Additional meetings may be organised and have the potential to be hosted in Burekup, Dardanup or Eaton at the discretion of the Place and Community Officer with the agreement of the members of YAG.

Your Responsibilities:

Attend a minimum of 10 meetings and 3 events per year.
Provide at least 24 hours notice to Place and Community Engagement Officer through preferred communication channel if you are unable to attend a meeting.
Update Place and Community Engagement Officer as soon as contact details change. ]

Your Duties:

Advocate for your community, not for yourself.
Provide on the day assistance with youth events and programs.
Assist with promoting and consulting youth on relevant programs and events.

Benefits:

Gain on the job experience in careers, organisation, project management, and event coordination
Build essential community contacts through networking, that will assist in gaining employment/career development
Gain FREE unique training opportunities through recognised professionals in areas of leadership, hosting and managing formal meetings and project management.
Learn how to work in a professional team environment and build lifelong friendships with your other members.

Introduction

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Contact Details

Name*

Pronouns*

Date of Birth*

Age*

Contact Phone Number*

Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Email*

Cultural Identity

About you

What are some of the strengths you feel you could bring to YAG?*

What do you hope to gain from being involved in the YAG?*

Medical Information: Please list any known allergies or other medical conditions that we may need to be aware of. Please provide additional information if you potential require treatment, i.e. to administer ventolin or an epi-pen*

Declaration

I declare that I am between 12 and 24 years of age and agree to Youth Advisory Group expectations listed on the website*

YesNoUndecided

Parent/ Guardian Name*

Parent/Guardian Contact Phone Number*

Parent/Guardian Email Address*

Additional Emergency Contact Name (different from above)*

Additional Emergency Contact Phone Number*

Parent/Guardian: I give permission for this YAG applicant to make their way to and from YAG meetings, events and activities. I will contact the Shire of Dardanup if this changes*

Parent/Guardian: I give consent for images taken of the YAG applicant/member to be used by the Shire of Dardanup and authorised third parties for promotional purposes.*

Parent/Guardian by selecting yes you give consent for the applicant to participate in the Shire of Dardanup Youth Advisory Group*

YesNoUndecided

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Youth Advisory Group Application Form

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Introduction

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Declaration

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