Express your interest to join the Parents and Carers Reference Group

Do you agree to the Privacy Collection Notice? * Required
Read the Privacy Collection Notice
- Yes I agree
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About you
- Salutation * Required
  - Mr
  - Mrs
  - Ms
  - Mx
  - Dr
  - Prof
  - A/Prof
  - None
First name * Required
Last name * Required
Email address * Required
Address
State
- ACT
- NSW
- NT
- QLD
- SA
- TAS
- VIC
- WA
Postcode * Required
Gender identity * Required
- Man
- Woman
- Non-binary
- Prefer not to say
- Other
My gender identity is:
Age group * Required
- 18-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65+
- Prefer not to say
Current Parent / Carer Responsibility * Required
- Parent
- Adopted Parent
- Foster Carer
- Grandparent
- Kinship Carer
- Informal Carer
- None
- Other
Please specify
Number of children in your care
Age of youngest child in your care
You do not need to tell us about whether you identify with any particular part of the Australian community. If you would like to tell us, however, this will help us to ensure that the reference group has wide representation from across the community.
Do you identify as any of the following:
- First Nations
- Culturally and Linguistically Diverse
- LGBTIQA+
- Person with complex needs
- Refugee or asylum seeker
- Person with a disability
- Other
Please specify

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Your experience and skills
The expression of interest form is for us to understand your experience, skills and interest relevant to the Early Years Strategy. The following questions seek to understand your unique experience and abilities. As a result, there are no right or wrong answers.
What interests you to participate in a reference group focused on family and child policies?
(maximum 300 words)

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If you are not appointed as a member of the PCRG in the first instance, are you interested in being considered for future vacancies as they arise? * Required
- Yes
- No
Email
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