Armadale Youth Advisory Council

Armadale Youth Advisory Council
Team Name
Application Form 2024
The Armadale Youth Advisory Council (AYAC) is made up of young people aged 12-25 years with a passion for making Armadale a great place for young people to live. The AYAC meet fortnightly on Monday's between 4.00pm-5.30pm.

Young people interested in applying to be part of the Armadale Youth Advisory Council should complete this form. Applications can be submitted via email at info@armadale.wa.gov.au or in person at the City of Armadale Administration Building. Your information will be kept confidential.
Your Details
Name*
Preferred Name*
Age*
Date of Birth*

DayMonthYear
Date
Gender*
What are your preferred pronouns?*

She/Her/HersHe/Him/HisThey/Them/Theirs
Do you identify as:*

Aboriginal or Torres Strait IslanderCulturally and Linguistically DiverseA person with a disabilityNone of the above
Address*
Suburb*
Email*
example@example.com
Phone*
Do you have any medical concerns, access requirements or food allergies/dietary requirements?*
Emergency Contact Details
Emergency Contact Name*
Relationship*
Phone*