Your Voice Advocate Expression of Interest
Your Details
Title
Please select...
Mr
Ms
Mrs
Dr
Prof
First Name
Last Name
Email
Mobile
Street Address
Suburb
State
Please select...
NSW
VIC
ACT
NT
WA
QLD
SA
TAS
Postcode
Electorate
All advocates must be members of Lung Foundation Australia. Please confirm you are a current member of Lung Foundation Australia.
Please select...
Yes
No (please contact me to arrange membership)
Why would you like to be a Lung Foundation Australia Lung Health Advocate? (25 words or less)
Are you a:
Health Professional
Patient
Carer
Health Professional Type
Please select...
Allied Health- Exercise
Allied Health- Other
Allied Health- Pharmacy
Doctor – GP
Doctor- Specialist
Nurse
Other
Researcher
Health Professional Type other
Special Interest Area
Please select...
Bronchiectasis
COPD
Exercise
Idiopathic Pulmonary Fibrosis
Lung/Thoracic Cancer
Occupational Lung Disease
Paediatric Lung Disease
Palliative Care
Pulmonary Arterial Hypertension
Pulmonary Fibrosis
Pulmonary Hypertension
Rare Lung Disease
Research
Respiratory and sleep
Other
Special Interest Area other
Patient Type
Please select...
Alpha1 Antitrypsin Deficiency
Asbestosis
Asthma
Bronchiectasis
chILD
COPD
Idiopathic Pulmonary Fibrosis
Interstitial Lung Disease
Lung Cancer
Mesothelioma
Paediatric Lung Disease
Pneumonia
Pulmonary Arterial Hypertension
Pulmonary Fibrosis
Pulmonary Hypertension
Sarcoidosis
Silicosis
Tuberculosis
Other
Patient type: Other
Please select one advocacy group you wish to join:
Your Voice - Lung Cancer Advocates
Your Voice Advocates
Please select the activities you wish to participate in:
Please select...
Advocacy training
Meetings with local politicians
Events with other advocates, politicians and health care professionals
Media events and activities
Marketing campaigns
Fundraising activities
Campaign activities, eg. petitioning
Please select other campaigns you wish to support:
Please select...
Lung cancer
Lung health in general, this includes all respiratory illness
Clean air
Climate change
Occupational (workplace) lung health
Tobacco control and smoking cessation
Lung health research
Privacy Statement
Lung Foundation Australia takes your privacy seriously, our privacy policy can be reviewed on our website here. https://lungfoundation.com.au/about/privacy-policy/
Please indicate which of our communications you would like to receive:
I want to know about
upcoming education seminars
and
webinars
and other important events.
I want to know about the
latest advancements in research
and connecting to
clinical trials
that I might be eligible for, and how I can help advocate for better lung health.
I want to read
inspiring stories and valuable information about living well
with a lung condition in the
Inspired Living newsletter
for patients and their families.
I’m a health professional and I want to stay up-to-date with the
latest clinical news
.
I’m a health professional and I want to receive updates on the clinical
COPD-X Guidelines.
Contact Information