EmailMe Form - Youth Advisory Group

APPLICANT DETAILS

Applicant Name *

First Last

Email Address *

Date of Birth *

Age *

Are you under the age of 18? *

Under 18

18 and over

If you are under the age of 18 years, please ensure your Parent or Guardian completes the Parent Permission Form at the bottom of this form.

Contact Number *

### - ### - ####

Gender *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

ABOUT YOU

These questions will allow Netball WA to have diverse representation in our Youth Advisory Group

Do you identify as Aboriginal or Torres Strait Islander? *

Yes

No

Prefer not to say

Do you identify as a person with a disability? *

Yes

No

Prefer not to say

Do you identify as being part of the LGBTQIA+ community? *

Yes

No

Prefer not to say

Do you speak a language other than English at home? *

Yes

No

Prefer not to say

Do you have a culturally diverse background? *

Yes

No

Prefer not to say

REFEREES

Please provide us with the name and contact details of one referee.

Referee *

First Name
Last Name
Relationship to applicant
Phone
Email

Are you a Netball WA Member? (You can be a player, official, coach, volunteer) *

Yes

No

Unsure

Please provide the name of your Association and/or Club *

Association
Club

TIME COMMITMENT

The Youth Advisory Group will be appointed for a calendar year term. This requires a time commitment to attend meetings and complete project work. You must be able to attend at least 4 of the 5 meetings, in person (at the Gold Netball Centre) or online. There will also be one introduction meeting.

Are you able to meet the above commitment / requirements? *

Yes

No

Unsure

If you are selected for an interview, would you prefer a day or evening time slot? *

Day between 10am and 3pm

Evening between 5pm and 7pm

Anytime

APPLICANT QUESTIONS

Everyone plays a part in the Youth Advisory Group, with teamwork being the most important! Your role will require you to work with other members of our diverse community on different projects, to provide advice to Netball WA on different issues and important matters.

What connection do you have with Netball WA? Please describe any leadership and/or representative experience you have. (max. 150 words) *

Why do you want to the part of the Netball WA Youth Advisory Group? (max. 150 words) *

What skills would you like to develop whilst being part of the Youth Advisory Group? (max. 100 words) *

Briefly explain three topics within Netball WA or the netball community that you are passionate about and why you are passionate about them. (max. 400 words) *

Parent Permission Form - must be completed if Applicant is under the age of 18 years.

Name of Parent or Guardian

First Last

Relationship to applicant

Parent or Guardian email address

Parent or Guardian contact number

### - ### - ####

Signature of Parent or Guardian

Clear

Please contact Jonel Boonzaaier, Governance & Compliance Coordinator, on 08 9380 3795 or on membership.metroadmin@netballwa.com.au for more information.