Age range       70+ 16-24 25-29 30-39 40-49 50-59 60-69 Please highlight any group that you identify as being a part of: Aboriginal people Living with a disability/chronic condition Torres Strait Islander people Caring for someone with a disability From a non-English speaking background* Physically isolated Culturally or linguistically diverse* Transport disadvantaged Lesbian, gay, bisexual, gender diverse or Living in a rural or remote area intersex Living with a chronic illness including Children and youth. mental health * If you identify as being from a non-English speaking background, or culturally or linguistically diverse, please give details Other needs and requirements Is there anything that will help you participate in the Working Group better or more Yes No effectively? If yes, please provide details e.g. disability support worker, interpreter, closed captioning, hearing loop, central position to enable better hearing, etc. Please circle the role you are applying for: Consumer representative Carer representative Please limit your responses to experience relevant to the role you are applying for. Your responses to the following questions only need to be brief bullet points. What excites you or interested you about this role and the development of mental health consumer and carer organisation in Queensland?
Age range  16-24  25-29  30-39  40-49  50-59  60-69 70+ Please highlight any group that you identify as being a part of: Aboriginal people Torres Strait Islander people From a non-English speaking background* Culturally or linguistically diverse* Lesbian, gay, bisexual, gender diverse or intersex Children and youth. Living with a disability/chronic condition Caring for someone with a disability Physically isolated Transport disadvantaged Living in a rural or remote area Living with a chronic illness including mental health * If you identify as being from a non-English speaking background, or culturally or linguistically diverse, please give details Other needs and requirements Is there anything that will help you participate in the Working Group better or more effectively? Yes No If yes, please provide details e.g. disability support worker, interpreter, closed captioning, hearing loop, central position to enable better hearing, etc. Please circle the role you are applying for: Consumer representative Carer representative Please limit your responses to experience relevant to the role you are applying for. Your responses to the following questions only need to be brief bullet points. What excites you or interested you about this role and the development of mental health consumer and carer organisation in Queensland?
FINAL-WG-EOI.docx