National Community

 Disaster Initiative

 

REGISTRATION OF INTEREST FORM

Name

Email

Phone  (bh)    
         (ah) 

Address and State/Territory
  


  I am interested in participating in the development of a National Community Disaster Initiative.
 

Tick the box that best describes your reason for this interest:

       Resident in disaster-prone area
     
 Volunteer in disaster / emergency management role                
     
 Employee in disaster / emergency management role

      
 Employee in service organisation
     
 Government officer
 


Tell us about your interest:


I have the following skills:

 Community networking
        
 Business planning                
 Lobbying experience    
 Social media skills      
 Graphic design skills   
 Media skills                


  I would like to participate in the Working Group to guide
the development of this project.

Tell us about your interest in being on the Working Group: