Community Engagement Request Form

Thanks for making a request for Community Engagement from headspace Box Hill!

Please note: We require at least four (4) weeks' notice from your ideal date. Rebekah Abblitt, Community Engagement Coordinator at headspace Box Hill, will review your request. Completing this request form does not confirm your event. You will hear back about your request within seven working days.

Name *

Organisation/School Name *

Email Address *

Phone Number *

What we can offer

We can have an active presence, which involves running an interactive activity to engage with young people and the community. This could align with a recognition or celebration day/week or support an existing well-being activity in the school environment. We can also act as an 'information hub' where community members can ask questions and have a chat with our staff and volunteers. Presentations involve providing information and sharing tips and experiences from young people, with some capacity for interactive activities. Workshops allow for greater engagement through discussions and activities.

Today's Date

What kind of Community Engagement activity are you looking for? *

PresentationWorkshopStallUnsure

How would you like the presentation/workshop delivered? *

In-personOnlineUnsure

Presentation/workshop topics *We are in the process of comping a series of workshops presentation that we can provide, at this time, if you could give a little information on topic/s you'd like us to cover and we can be in touch with more information.

Number of people expected to attend? *

Will there be any young people with additional learning or access needs? e.g. disability or language barrier *

Is there free parking available on site? If so, where? *

How long do you anticipate the event will run? *

Please tell us a bit about your event or activity. What is the context/setting? What are you hoping to get out of having headspace Box Hill attend? *

Please provide any additional and/or relevant information below