Matching lived experience expertise to available opportunities

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

LELAN is the independent peak body in South Australia by, for and with people with lived experience of mental distress, social issues or injustice. The Matching Register is an initiative that forms part of our core business as a peak body for South Australia, and as such we will only be able to accept registrations from people that live within South Australia.

This form is for people who are interested in using their lived experience to influence change in the mental health, psychosocial disability or social services sectors and want to be connected to opportunities. Whether you are just starting to use your lived experience for change or have been involved in the lived experience community for a while, your wisdom is welcome on the Matching Register.

Based on the information you provide in this form you will be contacted about opportunities that match your specific interests, wisdom, and other preferences as well as the next steps to apply or get in touch with the right people.

If you have any questions or would like to contact us please email our Peer Project Support Worker Emrys via emrys@lelan.org.au . Alternatively an email can be sent to our general organisation account via info@lelan.org.au or contacted by call on 0431 953 526.

What is your name? *

What suburb do you live in? (please include suburb and area code) *

What is your email *

What is your phone number

Do you want to receive a text about opportunities we send you? *

No. An email is fine.

Yes, please text me to let me know to check my email.

What are your pronouns?

Some information about the way you personally identify (please tick all that apply):
*

Aboriginal

Torres Strait Islander

Caucasian (white person of European origin)

Culturally and Linguistically Diverse

Refugee

Migrant

Sexually Diverse (eg lesbian, gay, bisexual etc)

Heterosexual

Intersex

Trans or gender diverse

Youth (25 or younger)

Older person (65 or older)

Living in regional, rural or remote area of South Australia

Other:

Required

Some information about your personal lived experience (please check as many as apply):
*

Lived experience of distress and/or mental health issues

Living with a psychosocial disability

Carer of someone living with a psychosocial disability

Lived experience of suicide distress, crisis or attempt(s)

Experience of being bereaved by the suicide of someone close to me

Living with other disability

Lived experience of homelessness and/or housing instability

Carer of someone living with other disability

Lived experience of alcohol and/or other drug use

Lived experience of partner or family violence

Lived experience of sexual abuse and/or violence

Lived experience of childhood trauma

Lived experience of intergenerational trauma

Lived experience of the child protection system

Lived experience of being under Guardianship of the Minister

Lived experience of accessing mental health services as a child and/or young person

Lived experience of the justice and/or prison system

Lived experience of being neurodivergent

Lived experience of being under the Mental Health Act (eg. being 'sectioned' or detained ITO/CTO, etc)

Lived experience of public inpatient mental health services

Lived experience of private inpatient mental health services

Lived experience as a veteran or first responder

Other:

Required

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms