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About
What we do
Who we are
Our research
NSW Carer Survey
Become a carer
Enquire to become a carer
What is foster care?
Types of care
Planning for permanency
Aboriginal and Torres Strait Islander children
Culturally and linguistically diverse children
NSW foster care and adoption agencies
Frequently asked questions
Attend an on-demand information session
Support
Carer support groups
Carer reference groups
Resources
Resources for carers 🔗
Carer portal 🔗
Promote becoming a carer
COVID-19 resources
Online library
Training
Training calendar 🔗
Permanency WorkshopsÂ
Recorded webinars
Training by other organisations
News & Events
All News
All Events
1300 782 975
Carer reference group application form
Carer support
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Carer reference group application form
Carer Reference Group (CRG) Application Form
"
*
" indicates required fields
SECTION 1. PERSONAL DETAILS
Title
*
Mr
Miss
Mrs
Ms
Name
*
Organisation (you work for or are a carer with)
*
Home Address
*
Street
City
State / Province / Region
ZIP / Postal Code
Postal Address (if different)
*
Same Postal Address
Different Postal Address
Postal Address
Street
City
State / Province / Region
ZIP / Postal Code
Phone
*
Mobile
*
Email
*
Do you identify as an Aboriginal or Torres Strait Islander?
*
No
Aboriginal and not Torres Strait Islander
Torres Strait Islander and not Aboriginal
Both Aboriginal and Torres Strait Islander
Not stated or described
Are you from a culturally or linguistically diverse background?
*
Yes
No
Details:
Please select your role
*
Authorised carer with an NGO PSP agency
Authorised carer with DCJ
Guardian
Representative from a carer group or organisation
Employee of a PSP/ NGO
Adoptive parent with children and young people formerly from OOHC
SECTION 2. COMMUNITY INVOLVEMENT AND SKILLS
Briefly describe what you think are some important issues for carers in NSW.
Please outline the reasons why you would like to join a CRG.
Please describe the type of care you provide (e.g. short-term, emergency, part-time, long-term) and the skills, knowledge and experience you can bring to the CRG.
Please describe your role/position and outline the skills, knowledge and experience you could bring to the CRG.
SECTION 3. REFEREES
Please provide the name and contact details of two referees. At least one referee must be a caseworker/casework manager from your agency or manager (if you are an employee).
Referee 1:
Agency
Relationship to applicant
Phone
Email
Referee 2:
Agency
Relationship to applicant
Phone
Email
SECTION 4. STATEMENT/AGREEMENT
In expressing my interest in becoming a member of the Carer Reference Group
I understand that being part of this group will require members to attend and contribute positively to quarterly meetings, forums and other activities as required.
I understand that training sessions may be provided to assist the development and work of the group and note that I am willing to participate in these or similar activities.
Signed
Date
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Last name
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About you
Authorised Carer
Guardian
Adoptive Parent
Agency Staff
Potential Carer
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