Consumer Advisory Body expression of interest form

Candidate name *

Mobile *

Email *

I am a: *

Resident in Residential Aged CareRepresentative of a resident living in Residential Aged CareConsumer receiving In-home SupportRepresentative of consumer receiving In-home Support

1. Please tell us about yourself and your journey with Royal Freemasons? *

2. What motivates you to want to join this committee? *

3. Please provide a summary of your qualifications and/or experience that will support your role as a committee member. *

4. Please detail below any further comments or questions you have. *