White Ribbon Community Partner Application

Declarations and Disclaimers

Please be advised that this application covers subject matter including men’s violence against women and sexual assault which may be triggering to some people. For specialist support for experiences of violence and abuse please contact 1800 RESPECT

You will also need access to your current Police and Working With Children Checks (WWCC), if required.

Please reserve roughly 20 - 30 minutes to complete this form.

Application Pre-requisites

About You

Please be aware that White Ribbon holds any information given in accordance with the Privacy Act (1988) and will not share this information with a third party. Any data gathered may be used for evaluation purposes in a way that ensures anonymity and no identifying information will be used without consent.
Contact Details
Employment and Affiliations
Nominate a Referee
Please provide us with the contact details for a referee who has known you for a minimum of two years, and is not a family member, spouse/partner or employee/line report.

White Ribbon and You