Applying for a consumer representative position at the Child and Adolescent Health Service

You can use this form to apply for any of the consumer representative positions at CAHS. Please complete as much information as you are comfortable sharing. Most position remain open for at least two weeks.

Applying for a consumer representative position automatically adds you to the Engage Consumer Network so that you find out about other positions and engagement work being undertaken at CAHS.

If you are already a member of Engage please use this link to quick apply

You can unsubscribe from Engage at any time.

About you

Please tell us some information about yourself.

First Name*

Last Name

Email*

What are your preferred promouns? (eg she/her, he/him, they/them)

Mobile Phone

Date of Birth

Postcode or ZIP Code

Which description best describes you?*

Young person aged 12-24 years

Parent/carer of a child aged 0-18 years

Parent/ carer of a child who has used CAHS services within the last 5 years

Representative of a community organisation that support children and families

Sibling of someone who has used CAHS services

None of the above

If you represent a community organisation please let us know who

If you speak languages other than English please let us know which languages

When you get added to Engage what can we contact you about?

Opportunities to become a consumer representative

Attending consumer events and consultations

Reviewing patient information and other documents

Providing feedback on research

Taking part in research

Only contact me about services I have used

Your experience of using our services

The following information will be used during the application process to ensure a broad range of experiences (where the consumer representative poistion requires it)

I have used the following services at Perth Children's Hospital

I have used the following Neonatology services

Neonates Intensive Care (King Edwards Memorial Hospital)

Special Care Nursery 2 (King Edwards Memorial Hospital)

Neonates home visits

nutrition and WA PREM Milk Bank

High Dependency Unit (King Edwards Memorial Hospital)

I have used the following Community Health services

Being a consumer Representative at CAHS

Please tell us more about why you want to be a consumer representative at CAHS.

Why are you interested in being a consumer representative? (It can be helpful to include why you are interested in a particular position)

What experience or skills do you think you would bring to the role of consumer representative? (this may include current or past work, voluntary or team work experience)

Is there anything we can do to support you to become a consumer representative?

Please add the name and contact number of someone we can contact as a reference, this could be from work, volunteering roles, school or health.

If you are under 18 please provide your parent/gurdians name and phone number

I consent to Child and Adolescent Health Service collecting and using my information for engagement purposes in accordance with their Privacy Policy.

Applying for a consumer representative position at the Child and Adolescent Health Service

About you

Your experience of using our services

Being a consumer Representative at CAHS

We value your privacy as much as you do. We will not give your information to any other parties