Back to Become a QDeNgage Consultant » in a new page QDeNgage Consultant or Representative Application Form Please enable JavaScript in your browser to complete this form.QDeNgage Consultant or Representative Requirements *I identify as a person with disabilityI am a QDN member, or have applied to become a QDN memberI am willing to attend training (if required) to learn about being a QDeNgage Consultant or RepresentativeI am happy to meet new people and talk about my lived experienceName *FirstLastStreet number and nameSuburbCity or townPost CodeBest contact numberMy 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 engineMy primary disability is *NeurologicalIntellectualPhysicalLearningSensoryPsychosocialOtherIf other, please specify:My resume Drag & Drop Files, Choose Files 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) *FirstLastPhone *Email *Organisation *Relationship to you (eg. previous Supervisor, work colleague etc.) *Reference Two *FirstLastPhone *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 detailsI 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.MessageSubmit
