×

Join our online community to participate in shaping our future

Creating an account helps us better understand your needs and the needs of the community.

Ignore this field. It is used to detect spammers. If you enter anything into this text box, your submission will be rejected. Ignore this field. It is used to detect spammers. If you enter anything into this text box, your submission will be rejected. Ignore this field. It is used to detect spammers. If you enter anything into this text box, your submission will be rejected.

Username This will appear to others when you contribute comments

Password Your password must have a minimum length of 5 characters.

Email Address

Year of Birth

Suburb Required

I reside outside of VIC

Gender ** None Woman Man Non-binary Prefer not to say I use a different term (please specify)

Other value 255 characters left

Do you identify as part of the LGBTQI+ community? (i.e lesbian, gay, bisexual, trans or gender diverse, intersex, queer or questioning) ** None Yes No Prefer not to answer

Are you of Aboriginal or Torres Strait Islander origin? ** None No Yes, Aboriginal Yes, Torres Strait Islander Yes, both Aboriginal and Torres Strait Islander I'm unsure Prefer not to say

What is your ancestry or cultural background? Select Culture Background Australian English Chinese Irish Scottish Italian Indian German Sinhalese/Sri Lankan Dutch Prefer not to answer Other (please specify)

Other value 255 characters left

Do you speak a language other than English at home (including Aboriginal and/or Torres Straight Islander language) ** None No – English Prefer not to answer Yes – other language (please specify)

Other value 255 characters left

Are you living with a disability (that is, do you need help with daily activities of self-care, body movement or communication)? ** None No – without disability Yes – with disability lasting 6 months or more Yes – with no need for help or supervision Prefer not to answer Yes – other reason (please specify)

Other value 255 characters left

Do you provide unpaid care or assistance to family members or others because of a disability, a long term health condition or condition related to aging? ** None Yes No Prefer not to answer

What is your current household type? ** None Couple with children One parent with children Couple without children Group household or share house One person household Prefer not to say

I am interested in being part of engagement panels, focus groups and other deliberative engagement opportunities

I agree to the privacy statement Required

By creating an account you agree to our Privacy Policy and Terms of Use Create Account

Already have an account? Log in now