2023 CAC Nomination – Able Australia

Client Advisory Committee register interest form

To register your interest to join our Client Advisory Committee please complete the following form. If you have any questions regarding the Client Advisory Committee please email comms@ableaustralia.org.au.

First Name*
Surname*
Phone*
Email address:*
Postal Address*
When describing my connection to Able Australia, I identify as: (please select one)*
- A client of Able Australia
- A family member of Able Australia
- A disability advocate
- A carer/guardian of an Able Australia client
- A participant/carer/guardian who has transitioned to Able Australia from Melbourne City Mission (MCM)
- A disability specialist (ie: medical practitioner, allied health professional, support coordinator)
Tick if appropriate:
- I will need support if I am to be part of this committee (eg: an Interpreter, support from a Disability Support Worker to use technology), etc.
Please outline your accessibility requirements:
In 2-3 sentences, please describe why you believe you should be appointed to the Client Advisory Committee. What skills, experience or perspective you will bring to the Committee.*
Please read and tick the below statement*
- If selected to this Committee, I agree to ensure the views I express represent a group view, rather than my own personal circumstance. I also agree to not use this forum to pursue personal claims and acknowledge that Able Australia has a formal feedback and complaints procedure which should be used instead.