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Form
Mental Health First Aid Training
Mental Health First Aid Training 2024
Full name
First Name
Last Name
Age Group
18 to 24
25 to 49
50+
Email address
Contact Number
Address
Township Name
Do you identify as:
Female
Male
Non-binary
Self-described
Do you identify as:
Aboriginal
Torres Strait Islander
Both
Neither
What is your connection to the community?
Privacy Statement
Personal information collected on this form shall be used by Council’s Health and Wellbeing team or the purpose of registering for the Mental Health First Aid Training. Council may disclose your information to other internal departments in order to assist in planning and will not disclose your information to any external party without your consent, unless required to do so by law. Golden Plains Shire Council is committed to protecting all personal and sensitive information consistent with the Information Privacy & Health principles set out in the Privacy and Data Protection Act 2014 and the Health Records Act 2001. You have the right to access your personal information and make any necessary corrections. If you have any queries or wish to gain access to amend your information please contact Golden Plains Shire’s Privacy Officer on (03) 5220 7111 or
[email protected]
.
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