Request For Registration | The Multicultural Exchange Hub for Ageing

Name

First

Last

Email *

Suburb and postcode *

Region *

Mobile *

The HUB is, upon request, sending urgent text messages to members re: priority information. It is released as a short text to mobile numbers and/or email. Do you prefer email or text message to receive urgent messages from the Hub/ Dept? Select neither if you do not wish to receive any updates at all *

Text is fine
Email is fine
Neither - I will visit the site when I am ready

Are you employed in the aged care sector? *

Yes
No

Is your direct role/ the service you are engaged in funded by the Commonwealth Home Support Program? *

Yes
No

Is your role a Sector Support and Development role? Please be specific as SSD's require a different type of membership and will receive different correspondence related to their SSD roles. *

Yes
No

Organisations Name *

Website / URL

Your Role / Title *

Do you speak a language other than English? *

Yes fluently
Yes but not fluent
No

Describe the language and or cultural connection *

Do you identify as a CaLD person or someone from a CaLD background *

Yes I am CaLD and see my culture as an important part of who I am
I am CaLD but I dont have a strong connection to my culture
No I dont associate nor have a connection with another culture
No I am not CaLD but feel very connected to CaLD cultures

If you speak a language other than English , is this a skill you currently use in your workplace ? *

Yes I do and I am recognised and employed for this additional skill
Yes I do speak and use it as part of my work but it is not a requirement or a formal part of my role. It is more adhoc
Yes i do speak a language other English but i do not use this at work
No I do not speak another language

Tell us a little about you and why you are interested in registering with the HUB (copy) *

Does your role directly require you to support CaLD consumers / Seniors? *

yes
Yes I can and we have a a few CALD clients
Yes but we dont have many CaLD clients
Yes we can but we have very few CaLD clients
No not really - This is not an area of expertise
No not at all

Do you currently find technology useful to reach out to your CaLD clients? *

yes I use it daily
Yes but not all the time
Yes but rarely
No not really - I dont have access to technology
No not really - CaLD seniors dont really like technology
No we really dont have funds or resources to provide technology
Other

What kind of support or information are you looking for from the Hub?

Do you wish to receive a free complimentary coaching session with a Multicultural Sector Support Officer to explain how the Hub works and provide a free consultation on CaLD strategies tailored to you and your services needs ?? *

Yes I have a specific issue I need help with
Yes why not. Nothing specific at this stage
undecided - Im not sure what the officer could offer
No

Do you wish to receive monthly updates *

Yes
No

Some of our members wish to connect and partner with other Hub Members? If so would you be interested in asking the Hub to find opportunities for you to partner with another member who is also looking for support? *

Yes
No

If yes tell us in a few words about the kind of collaboration you are looking for? If you are not interested then please type in N/A

Final question - How did you hear about us? *