Scholarship Application

Scholarship Application Process

* Indicates required field

I am applying for the following scholarship *

Queer Leaders Scholarship Sovereign Leaders Scholarship I am both First Nations and Queer

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Therapeutic Membership Assocation *

My Background Qualifications *

Employment History *

I am available to attend all live face-to-face training events. *

Yes No

Please complete the box below that is appropriate for your application. If you are applying to both scholarships, please complete both.

Please demonstrate your awareness and understanding of issues that may affect Aboriginal and Torres Strait Islander people. *

Please demonstrate your awareness and understanding of issues that may affect people of diverse genders and sexualities. *

What are your hopes and expectations of the scholarship program? *

Comments *

Acknowledgement of Country

Diversity is Welcome

I would like to acknowledge Aboriginal and Torres Strait Islander peoples as Australia’s First People, Traditional Custodians and Sovereign owners of this country. I value their cultures, identities and continuing connection to country, waters, kin and community. I pay my respects to Elders past and present and am committed to making a positive contribution to the wellbeing of Aboriginal and Torres Strait Islander people by providing services that are welcoming, safe, culturally appropriate and inclusive. I acknowledge that Sovereignty was never ceded.

I am committed to embracing diversity and eliminating all forms of discrimination in the provision of counselling & training services. I welcome all people irrespective of ethnicity, lifestyle choice, faith, sexual orientation and gender identity.

Make the Change You Wish To See in the World...

When you invest in your future through my services, you're also creating meaningful change in the world, because every service you engage with supports YARNS HEAL, Suicide Prevention Campaign.

+61 439 456 335

111 Stuart Street
Mullumbimby NSW 2482

Photos used under Creative Commons from Julian Meehan, tedeytan