Just Hearing Form

First Name*

Last name*

Pronouns

Phone Number*

Email Address*

I am applying to work on Just Hearing as a/n

Writer

Actor

Actor and Writer

Previous Experience

Please provide details of your experience as a writer or actor in relation to essential and desirable selection criteria listed in the information. Alternately you can email a CV to robin@rebustheatre.com

I identify as

Sometimes funding bodies ask us to report on the diversity of our programs. If you feel comfortable to do so please tick any boxes below that apply to you.

Female

Non Binary

d/Deaf, Neurodiverse, disabled and/or living with disability

Lived experience of mental ill-health (even if I am not comfortable with that language)

Aboriginal

Torres Strait Islander

LGBTQIA+

Culturally and Linguistically Diverse

Do you have any accessibility requirements that we would need to be aware of?

Experience of Mental Ill Health and the Mental Health System

Please tell us a little about your experience of mental ill-health, and encounters with the mental health system. As much or as little as you comfortable saying.

What days of the week or times of day are you generally available to work on this project?

Please include which specific days and whether you would prefer business hours or after hours