QDeNgage Application Form - Queenslanders With Disability Network

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QDeNgage Consultant or Representative Requirements *

I identify as a person with disability
I am a QDN member, or have applied to become a QDN member
I am willing to attend training (if required) to learn about being a QDeNgage Consultant or Representative
I am happy to meet new people and talk about my lived experience

Name *

First

Last

Street number and name

Suburb

City or town

Post Code

Best contact number

My email address

If you do not currently have an email address you can get a free one at https://support.google.com/mail/answer/56256?hl=en – just copy and paste this link into your search engine

If other, please specify:

My resume

Click or drag a file to this area to upload.

Upload your resume outlining what experience you have had in your life. This could include employment, roles you have held in the community, volunteer roles, organisations you are a member of and/or committees you have been involved with. You can access QDN's resume template here: https://qdn.org.au/resume-template/

Reference One (please provide details of your referees here, ensure your References are aware you are providing their details and agree) *

First

Last

Phone *

Email *

Organisation *

Relationship to you (eg. previous Supervisor, work colleague etc.) *

Reference Two *

First

Last

Phone *

Organisation *

Email *

Relationship to you (eg. previous Supervisor, work colleague etc.) *

Contact QDN at 1300 363 783 if you have any questions about the QDeNgage initiative.

By submitting this Application, I understand and agree to Queenslanders with Disability Network (QDN) contacting my references as per the above details
I understand that acceptance as a QDeNgage Consultant or Representative does not mean that I will automatically be selected as a representative or consultant for each QDeNgage opportunity that arises. QDeNgage will provide members of QDeNgage with information about engagement opportunities as they arise, invite interested members to apply and undertake an additional selection process to match representative and consultant skills, knowledge and experience to the role and responsibilities required by business, department or organisation.

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QDeNgage Consultant or Representative Application Form