Wyndham People's Advisory Panel, 2025

Thank you for your interest in the Wyndham People's Advisory Panel. To allow us to keep you informed and engaged in consultations that are relevant to you please complete this form so we know more about you.

Please note: Elected representatives from any level of government, paid employees of any political party, Wyndham City employees, Councillors, former Councillors from the last two terms of Council, and immediate family members of these people cannot join the Panel.

Protecting your privacy
By completing this registration form, you are providing Deliberately Engaging Pty Ltd with personal information about yourself. All personal information collected is handled following the Australian Privacy Principles. Your details can not be supplied to Wyndham Council without your consent. If you are happy for your contact information and demographic details to be provided to Council, please respond yes to the privacy question below. For details on how Wyndham City Council collects and protects your personal information, refer to their Privacy Policy.

First Name *

What name do you prefer to be called?

Last Name *

Email Address *

Phone number (mobile if possible) *

Do you consent to your information being provided to Wyndham Council? *

YesNo

Information about you

Please complete the questions below so we know more about you and can advise you of opportunities relevant to both everyone and specific groups in our community.

What year were you born in? *

If you are under 18 years of age we need your parent or guardian's permission for you to participate on the Panel. So that we can contact your parent or guardian please provide the their name below. *

Please provide your parent or guardian's email address so we can contact them *

Where do you live?

Street address *

Suburb *

Postcode *

I describe my gender as *

Do you own or rent the property you live in? *

OwnRentOther

If you answered 'other' to the previous question please provide details *

Are you an Australian Aboriginal and/or Torres Strait Islander? *

YesNoPrefer not to say

Do you speak a language other than English at home? *

YesNo

What language/s do you speak at home? *

What country were you born in? *

Do you have a disability? *

YesNoPrefer not to say

Do you care for someone with a disability? *

YesNo Prefer not to say

Are you a part of the LGBTQIA+ community *

YesNoPrefer not to say

What is the highest level of education you have completed? *

High school or equivalentCertificate level I-IV or equivalentAdvanced Diploma or Diploma level or equivalentBachelor degree or abovePrefer not to sayOther (please provide details below)

If you selected other, please provide details of your education

What is your connection to Wyndham? *

I live in WyndhamI own/run a business in WyndhamI’m a landlord with property in WyndhamOther

If you answered other, please describe your connection *

How long have you operated a business in Wyndham? *

less than one yearmore than one year and less than five yearsmore than five years and less than ten yearsmore than ten years

Thank you for taking the time to complete this form. We'll be in touch with you soon.

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