Family and Supporters Advisory Group

Expression of Interest Form

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

A group of people with intellectual disability. Six are standing. One is sitting on a chair. They are looking at the camera.

Your contact details

We need to collect your contact details so that we can contact you about the outcome of your Expression of Interest.

Sensitive information

We are forming an advisory group of families and supporters of people with intellectual disability.

To make sure we include the diverse voices of our community, we need to ask for some sensitive information.

6. Do you consent to the Centre collecting sensitive information about you?
7. Are you:
9. Which area do you live in?
10. Please select which state or territory you live in
11. Do you identify as:
12. Is there someone else we need to let know about your application?

About You

Things you might like to tell us are:

  • what you like to do
  • your passions
  • any work or volunteering you do
  • how you like to spend your free time

The person you support

In this section we will be asking for sensitive information about the person you support.

This makes sure we are including the diverse voices of our community.

Consent from the person you support

Before you include information about the person you support in this form, you should support them to understand:

  • what this form is about
  • what information you would like to share about them
  • why you are sharing the information
  • how the Centre will use their information
  • who may read their information.

The person should be supported to make their own decision about whether their information is included in this form.

People communicate their decisions, wishes and preferences in different ways.

This may include:

  • speaking or writing
  • gestures or facial expressions
  • body language or behaviour
  • pictures, videos or communication devices
  • their usual ways of communicating or responding
  • support from someone they know and trust.

If you or the person you support would like any information explained in another way, please contact Alison Richardson at alison.richardson@downsyndrome.org.au.

Does the person you support consent to the Centre collecting their sensitive information? If the person does not agree, please do not include their personal or sensitive information in this form.

For example, you may have:

  • used Easy Read information
  • explained the information in a conversation
  • used pictures, videos or communication devices
  • given the person more time
  • involved someone they know and trust.
This may have been through words, gestures, facial expressions, body language, behaviour or their usual ways of communicating.
Did someone who knows the person well help to understand or interpret their communication?
Please confirm:
Do you support a person with an intellectual disability?
Are you a:
Which state or territory does the person you support live in?
Which area do they live in?
Does the person identify as:
Does the person you support identify as:
I will let the Centre know as soon as possible if I make the decision to take away my consent to participate in the group.