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Community Changemakers Program - Application Form

Application form for the Community Changemaker Program 2023

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Community Changemakers Program
Community Changemakers Program - Application Form

Do you have what it takes to become a Community Changemaker? Check your eligibility and read the selection process before filling out the application form.

Yarra Ranges Resident (we will need you to provide your address)
18 years or over
Available to attend all sessions

There are a maximum of 20 places available for the Yarra Ranges Community Changemakers Program.

Step 1- Interested Yarra Ranges residents submit applications by 5pm, Sunday 14 May 2023.

Step 2- Applications reviewed by Council Officers to ensure eligibility criteria (as above) have been met.

Step 3 –Applications will be considered against the selection criteria

Step 4 – Short-listed applicants will be invited to an informal, 15 minute interview (online)

Step 5 – Successful applicants emailed letter of offer, with an acceptance deadline.

Course participants, as far as possible, will be representative of the community, with reference to:

ability;
age;
gender and gender identification;
cultural background; and
socio-economic status.

If you need support in completing your application please don't hesitate to contact Kellie McPherson by telephone on 1300 368 333 or via email at skillsbuilding@yarraranges.vic.gov.au.

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Community Changemakers Program - Application Form

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Personal Information

First Name Required

Last Name: Required

Address Required Please include street name, suburb and/or post code.

Contact Number Required

Email Address Required

Gender Required

Other Value

Country of Birth Required

Can you speak a language other than English? Required

Other Value

If so, which language/s? Required

About you

Which age group do you belong to? Required

Other Value

What are your passions and interests? Required Tick all that apply

Arts and Culture

Community Development

Community Sport and Recreation

Cultural Development

Diversity and Inclusion

Environment and Sustainability

Health and Wellbeing

Local Economy

Local Tourism

Other (please specify)

Other Value

Please explain more about why the above are your passions and interests? (Free text)

How did you hear about the Community Changemaker Program?

To help us understand how you are connected to the Yarra Ranges Community, please list local community groups/organisations you are, or have been, a member of and detail role/s you have had. If you have not participated in a local group/organisation please provide information about other kinds of community connections you have had, or volunteer experiences/roles you have had outside of the Yarra Ranges (Free text) Required

Key Selection Criteria

The following questions will assist our selection panel to get to know you a little better and determine your suitability to participate in the 2023 Community Changemakers Program.

What has motivated you to participate in the Community Changemakers Program? (30%) Required

What do you hope to achieve by participating in the Community Changemakers Program? (20%) Required

In what ways do you see yourself as a community changemaker, or future community changemaker, in the Yarra Ranges community? (20%) Required

What changes would you like to see in your local community? If you were to bring about this change, what skills and support do you think are needed for you to play a part in achieving this? (30%) Required

Do you have any other skills, training or experience you would like us to know about? (Free text)

Is there anything else you would like to share? (Free text)

Child Safe Standards

Yarra Ranges Council is committed to Child Safety. Successful applicants will be required to provide a current Working with Children Check before program commencement.

Do you already have a Working with Children Check? Required

Other Value

Successful applicants will be required to provide a current Working with Children Check before program commencement. If successful you will be required to apply online here: https://www.workingwithchildren.vic.gov.au/

If successful, do you agree to providing a current Working with Children Check before program commences? Required

Other Value

Diversity and Inclusion

Yarra Ranges Council is dedicated to Diversity and Inclusion.

Do you need any support to be able to participate? Required

Other Value

Please identify any potential barriers to your participation and indicate how we can assist: Required

References

Please provide name and contact details of two personal referees.

Referee 1 Required

How do you know this person? Required

Contact Number Required

Referee 2 Required

How do you know this person? Required

Contact Number Required

Agreement

I am aged 18 and over Required

I live in the Yarra Ranges municipality Required

I understand if shortlisted, I may be requested to attend an informal interview Required

I understand that if selected for the program I must commit to attend ALL sessions (illness or emergencies are an exception) Required

I understand that if selected for the program I must have a valid Working with Children Check Required

I understand that this is only an Expression of Interest and does not guarantee a place in the Community Changemakers Program Required

I understand that Yarra Ranges Council reserves the right to cancel, suspend or make changes to the Community Changemakers Program. Required

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Yarra Ranges Council acknowledges the Wurundjeri and other Kulin Nation peoples as the Traditional Owners and Custodians of these lands and waterways. We pay our respects to all Elders, past, present, and emerging, who have been, and always will be, integral to the story of our region. We proudly share custodianship to care for Country together.

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Privacy Policy

This site is owned and operated by Yarra Ranges Council using software licensed from Social Pinpoint. For details on how Yarra Ranges Council collects and protects your personal information, refer to their Privacy Policy below. For details of how Social Pinpoint may access personal information, please refer to Social Pinpoint’s Privacy Policy.

Our collection, use and disclosure of your personal information is regulated by the Victorian Privacy and Data Protection Act 2014. You can find more information about your privacy rights at the Office of the Victorian Information Commissioner.

This privacy statement applies to Shaping Yarra Ranges. For information about the broader collection and use of personal information by Yarra Ranges Council, please refer to our Privacy Policy.

Yarra Ranges Council is bound by the Privacy & Data Protection Act 2014 and Health Records Act 2001. We abide by our obligations under the Australian Privacy Principles. All information collected is held securely and used solely by Council for a specific and/ or directly related purpose. Council may disclose the information collected to other organisations if required or as permitted by legislation.

Information provided toYarra Ranges Council may be subject to discovery under the Freedom of Information Act 1982.

When you register for a Shaping Yarra Ranges, we collect: an email address, password, a name, location (post code or suburb only), year of birth and gender. It is necessary to complete each of these fields to register for an account.

On registration, we will validate your email address by asking you to respond to a communication to that email address, but we do not check the accuracy of any other information you submit.

You may sign up to Shaping Yarra Ranges using an email address that does not include your name and by providing a nickname rather than your actual name.

Yarra Ranges Council does not seek to identify anyone on the basis of the information submitted, except to address a query made by that account holder to the Yarra Ranges Council.

We may combine your account information with data we collect about your use of our digital services, including behavioural and location data, and other information you provide to the Yarra Ranges Council. This combined information may include data that we have already collected about you.

The data we collect is used for the following purposes:

administration of your Shaping Yarra Ranges profile;
performing research and analysis, including receiving anonymised, aggregated reports, aimed at improving our content, services and reach; and
providing you with information about Yarra Ranges Council activities, services and events that may be of interest to you.

We may allow some third parties to use cookies and other technologies to collect data about your use of our digital services so that they can provide us with promotions, analytics, ratings, and marketing services. Some third parties may be able to match this data with personal information they already have about you.

We require that our service providers have appropriate controls to protect your personal information and that they only use your personal information for authorised purposes.

Please keep in mind all responses to the Council can be subject to Freedom of Information requests.

When you contribute your content, questions, or views we may collect basic personal information such as your name, gender, and age. We may also collect contact details such as your postal address, email address and telephone number, as well as the information or content that you provide as part of the user generated content.

We may give you the option to provide sensitive information about you, including information about your race or ethnicity, political opinions or affiliations, religious beliefs, or affiliations, physical or mental health or sexuality. You should only provide us with such information if you consent to us collecting it and handling it in accordance with our Privacy Policy and any collection statement given to you. We will treat it as personal information and will handle it in accordance with our Privacy Policy on the understanding that you have consented. In some circumstances, you may not be able to participate unless you provide us with sensitive information.

The data we collect may be used to:

enhance our content and services using your contributions;
perform research and analysis aimed at improving our content and services;
help us understand more about the composition of our stakeholders, so we can reflect and represent the Yarra Ranges community in our content and services; and
manage our relationship with you, including providing you with information about Yarra Ranges Council activities, products, services, and events that may be of interest to you.

Please keep in mind all responses to the Council can be subject to Freedom of Information requests.

When you participate in research or surveys, we may collect basic personal information such as your name, gender, and age. We may also collect contact details such as your email address and telephone number, as well as the specific information that you provide in relation to the research being conducted.

We may give you the option to provide sensitive information about you, including information about your race or ethnicity, physical or mental health or sexuality. You should only provide us with such information if you consent to us collecting it and handling it in accordance with our Privacy Policy and any collection statement given to you. We will treat it as personal information and will handle it in accordance with our Privacy Policy on the understanding that you have consented. In some circumstances, you may not be able to participate unless you provide us with sensitive information.

The data we collect may be used to:

conduct surveys;
perform research and analysis aimed at improving our content and services;
help us understand more about the composition of our stakeholders, so we can reflect and represent the Yarra Ranges community in our content and services; and
manage our relationship with you, including providing you with information about Yarra Ranges Council activities, products, services, and events that may be of interest to you.

When you sign up to receive a Yarra Ranges Council newsletter (electronically or in hard copy) or enter a competition or promotion, we may collect basic personal information such as your name, gender, and age. We may also collect contact details such as your postal address, email address and telephone number, as well as the information or content that you may provide for a competition or event.

When you sign up to receive a Yarra Ranges Council newsletter, we may also ask you to provide other information about yourself, including your preferences and interests.

The data we collect may be used to:

administer your registration for a Yarra Ranges Council newsletter, event, competition or campaign;
help us understand more about the composition, needs and behaviours of our stakeholders to see whether we are reaching a broad cross-section of Yarra Ranges residents under our objectives;
help our audiences find content likely to be of interest to them;
perform research and analysis aimed at improving our content, services and reach; and
provide you with information about Yarra Ranges Council activities, products, services and events that may be of interest to you.

We may allow some third parties to use cookies and other technologies to collect data about your use of our digital services so that they can provide us with marketing, promotions, analytics and ratings services. Some third parties may be able to match this data with personal information they already have about you.

When browsing this site or Council's main website certain unidentifiable information regarding your visit is logged. Information gathered includes what pages are accessed or downloaded. No attempt will be made to link such data to individuals. 

We may use this data for statistical purposes and to evaluate and improve the effectiveness of our website. 

Council may also use third party applications in the provision of some services, such as the delivery and submission of electronic forms, appointment bookings, secure document signing and the delivery of electronic communication.  The following third-party applications may be used. We advise that you read their individual privacy policies, which are linked below:  

Try booking (appointment and event booking) 
DocuSign (Secure document signing)
Mail Chimp (eNewsletter delivery)
Whispr (SMS platform)
Surveymonkey (Consulation and feedback)
Openforms (Online forms)
OpenCities (Content Management System)

You don’t have to give us all the information we ask you to provide, but this may limit how we interact with you, and which services we can provide.

You have a right to access any personal information we hold and may ask us to update or correct your personal information.

Yarra Ranges Council is required to comply with the Freedom of Information Act 1982 (FOI Act) and any submission provided to Yarra Ranges Council may be the subject of a request under that Act.

All requests for access to survey results or other engagement activites will be dealt with in accordance with the FOI Act. The Act includes various exemptions for documents such as documents provided in confidence and personal information.

Any FOI application that relates to personal information or confidential survey answers will be processed in accordance with these exemptions. Freedom of information Yarra Ranges Council

Please keep in mind all responses to the Council can be subject to Freedom of Information requests.

If you think the privacy of your personal or health information has been interfered with, within Council or we have breached the Privacy Policy, please contact the Privacy Officer on 1300 368 333 or email mail@yarraranges.vic.gov.au.

Terms of Use

The following Terms and Conditions govern the use of Shaping Yarra Ranges (“the site”). The software platform is owned by Social Pinpoint Pty Ltd and operated by us, Yarra Ranges Council.

By accessing and using this site, you are choosing to accept and comply with the Terms presented throughout this agreement as well as the Privacy Policy and Moderation Policy. These Terms apply to all visitors and users of this site. Linked sites, affiliated services or third party content or software have their own Terms that you must comply with. If you disagree with any of the Terms presented in this agreement, you may discontinue using the site immediately.

If you are under 18 years old, please ensure that your parent or guardian understands and accepts these Terms and Conditions (including the Privacy Policy and Moderation Policy).

What are the conditions with a user’s account?

While using the site, you must not violate any applicable laws and regulations. It is our duty to protect the confidentiality of content you provide on our site in accordance with our Privacy Policy. When you create an account with us, you must always provide us with accurate information. Failure to provide accurate information violates the Terms, which may result in immediate termination of your account on our service. You are responsible for protecting your own password you use for this site and for any activities done under that password. Unauthorised use of your password or account must be immediately reported to us. In some cases, we or our agents may require access to your user accounts to respond to technical issues.

We are not responsible for the content on the site that has been provided by the users of the site. Any content posted by you is subject to the rules of our Moderation Policy. Your contribution to the site may be edited, removed or not published if we consider it inappropriate (refer to Moderation Policy). Contributors should also be aware that their posts may remain online indefinitely. Where practical, you may choose not to identify yourself, deal with us on an anonymous basis or use a pseudonym.

What do we require from our users?

You must understand and agree that, without limitation:

all information, data, images and other materials are the sole responsibility of the person from whom the content originated;
you are prohibited from advertising or offering to sell or buy any goods and services
you cannot transmit Content that contains software viruses or programs designed to change or destroy the functionality of any computer software or hardware; or
you cannot collect or store personal data about other users of the site
you cannot impersonate any person or entity, including without limitation to a Yarra Ranges Council representative
you cannot interrupt or interfere with the site or servers or networks connected to the site
you cannot attempt to gain unauthorised access to the site or other use accounts

Can your account be suspended or terminated?

We may terminate or suspend access to your site and/or account immediately, without prior notice, including without limitation if you breach the Terms. We may immediately deactivate or delete your account and all the related files and information in your account. After your account has been terminated, the content you have posted may also remain indefinitely on the site.

If you want to terminate your own account, please send an email to web@yarraranges.vic.gov.au.

Governing Law

These Terms shall be governed in accordance with the laws of Victoria, Australia, without regards to its conflict of law provisions.

Indemnification

Yarra Ranges Council, its subsidiaries, affiliates, officers, agents, licensors and other partners are not responsible for any loss, liability, claim, or demand, including legal fees, made by any third party due to or arising from a breach of this agreement and/or any breach of your representations and warranties set forth above.

What content do we own?

This website contains the copyrighted material, trademarks, patents, trade secrets and other proprietary information (“Intellectual Property”) of Yarra Ranges Council and its suppliers and licensors. Yarra Ranges Council owns and retains all proprietary rights in the intellectual property. All intellectual property in the content of this site including without limitation to text, software, source code, pages, documents and online graphics, photographs, sounds, audio, video and other interactive features are owned by or licensed to us.

Any original content that you submit or post on our site may be made available to the public and allows users to share your content (with the end user acknowledging your contribution) under the Creative Commons Attribution-ShareAlike 4.0 Australian License.

Except for Intellectual Property which is in the public domain or for which you have been given written permission, you may not copy, alter, transmit, sell, distribute any of the Intellectual Property on this site.

We are not responsible for your communications or dealings, including payment and delivery of goods or services, with a third party found via our website. Any loss or damage incurred from those communications or dealings are solely between the user and the third party.

Disclaimer and Warranties

Users must agree that you use of the site is at your own risk. We make no warranty that the site will meet your requirements or be uninterrupted or error-free. Any material that the user downloads through the site is done at their own risk and are responsible for any damages to their computer system or loss of data.

What happens if these Terms change?

We reserve the right, at our sole discretion, to modify or replace these Terms at any time without notice. The most recent version of the Terms can be seen on this page. By continuing to access or use our site after those revisions become effective, you agree and will comply to the revised terms. If you do not agree to the revised terms, please discontinue using our site.

Contact Us

If you have any questions about these Terms, please contact us at web@yarraranges.vic.gov.au

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Community Changemakers Program - Application Form

Eligibility Criteria

Selection Process

Support

Community Changemakers Program - Application Form

Personal Information

About you

How did you hear about the Community Changemaker Program?

Key Selection Criteria

Child Safe Standards

Diversity and Inclusion

References

Agreement

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