Form

Thank you for your interest in applying for the Young and Wise nutrition and healthy eating roundtable.

Expressions of interest for this roundtable have now closed.

Email*

First Name*

Last Name*

Date of Birth*

Street address*

Suburb*

Post code*

State/Region*

Phone number*

Tell us about yourself.
You’re welcome to share anything that feels important to your identity, culture, community, or lived experience. This might include how you’d like to be described or anything you think helps us better understand your perspective. This is a space for your voice—whatever you choose to tell us is entirely up to you.

Which Dates best Suit you between 28th of April to the 2nd of May (Tick all that apply)*

I acknowledge and agree to the following:
The roundtable will be recorded and transcribed.
If selected, I must sign a consent form to participate.
If selected, I must keep my camera on during the meeting.
Payment is made via bank transfer only, in line with ARACY policy (gift cards are not an option).
If selected, I must complete a remuneration form after attending the roundtable.
I can withdraw my consent at any time.*

Please keep me informed via email of any future opportunities

Privacy collection statement
ARACY respects your privacy and is committed to protecting your personal information. When you interact with us, we may collect certain details to provide our services, such as your name and contact information. This information will only be used for purposes directly related to our business activities and will not be shared with third parties without your consent, except where required by law. By engaging with us, you consent to the collection and use of your information. Please refer to our privacy policy for more details on how we handle your information.

Need help or have questions? Contact us here communications@aracy.org.au
www.aracy.org.au