Age Friendly Darebin Participation

Stay involved!
Tell us how you would like to be part of making Age Friendly Darebin happen:

1. How would you like to continue to be part of Age Friendly Darebin? (Choose all that apply) *This question is required.

I would like to receive regular updates on Age Friendly Darebin workshop opportunities

Workshops usually involve attending a council venue to meet with other community members and staff about a specific topic. It might include asking your opinion or brainstorming ideas. The commitment of your time can be up to a couple of hours per session. Sometimes sessions will be one-offs or there might be a short series of sessions. We will provide you with details about each session beforehand. We will always offer refreshments, and we are happy to help with transport if that is a problem for you.
I would like to receive updates on other Age Friendly Darebin volunteer opportunities

This might include volunteering in person, volunteering to be interviewed on the phone, to read things we send you and to give us feedback.
I prefer not to be involved

2. Please provide your full name so we can remove you from our contact list. *This question is required.

2. A brief description of my areas of interest and skills.

This might include a second language or a specific interest or expertise. *This question is required.

2. Contacting You *This question is required.

Are you happy for us to contact you to discuss your options and availability? *This question is required.

Please provide your name and phone number:

The collection and handling of personal information is in accordance with Council's Privacy Policy which is displayed on Council's website and available for inspection at, or collection from, Council's Customer Service Centres. The personal information collected from you will only be used for the purpose of this survey and Council will treat your information confidentially. *This question is required.

Space Cell	Details
Full name *This question is required	Full name: Details
Phone number *This question is required	Phone number: Details

2. Your Age Group

2. Your postcode

Please enter an 'other' value for this selection.