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Register your interest: community focus group sessions

This form is to express your interest in participating in one of our focus group sessions for the Community Engagement Policy review.

It includes basic demographic questions to help us make sure that the participants in the sessions are broadly representative of our communities' diversity.

Privacy statement
Manningham City Council is fully committed to protecting any personal and health information you provide to us as per our obligations under the Privacy and Data Protection Act 2014 (Vic) and the Health Records Act 2001 (Vic).  The information you provide us will not be disclosed to any other external party without your consent, unless required or authorised by law. You may request access to the information you have provided at any time and make corrections if you believe the information is incorrect. Please contact us on 9840 9333 or email manningham@manningham.vic.gov.au You may obtain a copy of our Privacy Policy and Health Records Policy on our website at manningham.vic.gov.au/privacy

1.  

Would you like to participate in one of our two community focus group session?

* required
2.  

Which session would you prefer to participate in?

* required

Maximum 255 characters

0/255

4.  

What is your gender?

5.  

What is your age?

6.  

What is your primary language spoken at home?

Maximum 255 characters

0/255