Lived Experience Facilitator Expression of Interest form

The information you share with us in this form is used to help us understand your interest in being part of this program. Your personal contact information is so that we can get in touch with you to discuss your involvement.

Your information will not be shared or used for any other purposes. The data is stored securely in MLHD systems and will be deleted after 12 months.

About you

First Name *

Last Name *

Phone Number *

Email Address *

Date of Birth *You must be aged 18 or over to participate

Which Hearing Voices Group would you like to lead? *

DeniliquinGriffithTumutWagga Wagga

You must live within reasonable travel distance of this location

Important things to know

There are some things that we need to check you agree to before you take part in this program as a group facilitator.

Will you be able to attend training on Friday 5th December, in Wagga Wagga, from 9:30am – 4pm? *

YesNo (you must complete this training day before you can lead a Hearing Voices Group)

Do you agree to having a National Police Check before you take part in this program? *

YesNo (all lived experience facilitators must have a National Police Check to take part)

Tell us about your interest

Why are you interested in being a lived experience facilitator of the Hearing Voices Groups? *(max 300 words)

What do you think you will bring to the Hearing Voices Groups, based on your own experiences? *(max 300 words)

Have you taken part in or led a community group or support program in the past? If so, please tell us a little bit more about your experience. *(max 300 words)

Is there anything else you would like us to know about you, your needs or interest in being part of this program? *(max 300 words)

Trick1