PANDA Community Champions LogoPANDA Community Champions Logo                      PANDA Community Champions Application Form

We look forward to receiving your application. The next round of recruitment for the Community Champions Program will commence in March 2018. The project coordinator will be in touch in 2018 to organise a suitable interview time.


Before applying please read the PANDA Community Champions position description. Community Champions must have a lived experience of Perinatal Anxiety, Depression or Postnatal Psychosis - By personal experience we mean you have either experienced perinatal anxiety and/or depression or postnatal psychosis yourself or supported a partner or family member through their experience.

 

Please note that in completing this form you are not giving permission for your details or story to be shared or used in any manner. The information you provide will be used for recruitment purposes only. 

About You







(if applicable)











Your Experiences

(Please tick - you can tick more than one)



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Community Champion Activities
Which Community Champion activities are you interested in?







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