Please fill out the form below to register your interest to joining the Youth Programs Committee (YPC) for your region. The YPC is comprised of young locals aged between 12-25 and plays the lead role in the planning, decision making and delivery of activities for our organisation.

Name *

Date of Birth *

YYYY

Preferred Pronouns (She/He/They)

Gender

Address *

Phone *

Cultural Background

Currently studying?

Yes

I'd like to

Currently Working?

Yes

I'm looking for working

Expression of Interest to Join the YPC *

Please tell us a bit about you, and why you’d like to be a LYS YPC Member.

I agree:

That to become a member of the LYS Inc. I agree to be bound by the rules of LYS Inc., Code of Conduct and any other requirements which may be advised from time to time if admitted.

I am currently a member of Gippsland Youth Spaces.

Yes

Consent

(if under 18 years a guardian needs to consent for you)

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Phone

Parent/Guardian Email

Thank you for your submission! Stay tuned!

497B Princes Dr, Morwell VIC 3840

info@gippslandyouthspaces.org.au

0484 777 972

Gippsland Youth Space acknowledges the Gunaikurnai and Bunurong people as traditional owners and custodians of Country throughout Gippsland, and recognise their continuing connection to land, waters and culture, and pay our respects to their Elders past and present.

Gippsland Youth Space is guided by The Victorian LGBTIQ+ Strategy and is committed to safe and inclusive work places, policies and services for people of LGBTIQA+ communities and their families.

Gippsland Youth Space are committed to making gender inequality visible and are guided byVictorian Gender Equality Strategy and the WGEA dataset (calculating the Australian gender pay gap) to ensure public debate of gender equality issues in the workplace. We work collaboratively with employers, business, industry, government and professional associations committed to ensuring women can fully enjoy their rights on an equal footing with men.

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Gippsland Youth Spaces Inc. - ABN: 88 205 852 966.

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