Youth Advisory Group First name*This field is required. Surname*This field is required. Phone Number*This field is required. Are you an Aboriginal or Torres Strait Islander?*This field is required. YesNo Do you belong to a Culturally or Linguistically Diverse (CALD) Group? *This field is required. YesNo Are you living with a disability of any kind?*This field is required. YesNo If yes, please state the nature of your disability: * Do you represent a community service organisation operating within the Shire of York?*This field is required. YesNo If so, which one and what is your role: Are you the owner/manager of a business operating within the Shire of York?*This field is required. YesNo If so, please state the nature of your business: * What is your motivation for nominating to join the Group?*This field is required. What particular experience or insight could you bring to the Group? (e.g. a ‘lived experience’).*This field is required. Type the code from the image: Get Audio CodeType the code from the image