Participation Requests Form

Please use the form below to make a Participation Request. Your message will be automatically passed to the relevant person who will contact you to discuss your request.

Details

* Indicates Mandatory Field

Your Group Name *

Your Full Name *

Where is your organisation based / what geographic area does it serve? *

Your Postcode *

Contact Number  *

Email address  *

Website

Further Information

Does your group have a written constitution / Articles of Association? *

Select Yes No

What outcome does your group want to discuss? (Please say briefly what will improve and who will benefit from the improvement) *

Please say briefly what difference you group can make to this outcome *

Please provide date/s and the names of officers involved, if known, of any contact your organisation has had contact with us in the last year on this matter

Validation