CONFIDENTIAL: Client Engagement Reporting Form (DCSS Justice Program)
INTRODUCTION:

Thank you for choosing to engage with Diverse Communities and Social Services (DCSS), which is an National Not-for-Profit Community Justice & Social Services, Public Benevolent Institution (PBI), Tax-Deductible Gift Recipient (DGR) Registered Charity. | Website: www.dcss.org.au | Email: Info@dcss.org.au | ABN: 40-138-287-319.

We ask you to complete this online google form, to provide the required information about yourself and circumstances to enable us to assess your requirements and how we can best be of service to you and your situation.
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PLEASE NOTE: All Information collected is collected under the Australian Charities & Not-for-Profit Commission (ACNC) Privacy, and Managing Peoples Data and Information, and the Office of the Australian Information Commissioner (AIOC) Privacy Act 1988, which is the Australian law dealing with privacy. Please note all information is to be remained confidential and in alignment the Australian Privacy Act, the only information that will be used is the name and email address of the client to fill the Client Onboarding documents.

For more information please visit: https://www.acnc.gov.au/tools/guides/managing-peoples-information-and-data and https://www.oaic.gov.au/privacy/privacy-legislation/the-privacy-act. 
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ACKNOWLEDMENT OF COUNTRY AND DIVERISTY STATEMENT

Diverse Communities & Social Services (D.C.S.S.) and Not-for-Profit & Charity Community Consultants (N.F.P.C.C.C.) acknowledge the Traditional Owners, the custodians of these lands and waters and pay our respects to the oldest and continuing culture in the world. 

We pay our deep respect to the Traditional Owners, Community Leaders, and Elders - past, present, and future generations on which we Live, Work, and Travel. 

We embrace Diversity, Inclusion, and Equality! We are committed to providing a safe environment for all people, regardless of their age, culture, ability, gender, language, racial origin, religious beliefs, and/or sexual identity!

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If you have any questions, or concerns, your welcome to email us via Info@dcss.org.au.

Yours in Service and with Solidarity, 
Website: www.dcss.org.au | Email: Info@dcss.org.au

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