Expression of Interest for Community Services Working Group

Please fill out this short form if you are interested in being part of the Community Services Working Group

Please tell us your name?

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Please provide us with your email?

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Organisation Name

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What services do you offer in the City of Kwinana?

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What does your organisation need support with?

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What trends or gaps within the community have you observed?

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What strengths can we build from within the City of Kwinana?

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Are you, or your organisation, keen to be an active member of this Working Group?

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Yes Please!

No thanks

Are there any other organisations or people you would recommend being part of this Reference Group?

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10.

Would you like to add anything else?

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