Expression of Interest Form - COVID-19 Booster CALD Discussion for QUEENSLAND

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MYAN is organizing booster dose consultations similar to that of COVID-19 vaccines.
These will be 1.5 hour consultations. As a participant in this CALD youth consultation, the 1.5 hour sessions will involve:

- Sharing your thoughts on the barriers and solutions to booster uptake for CALD communities (this information will be shared with the key people in Department of Health who are leading the vaccine rollout)
- Receiving some up to date information on the COVID-19 booster
- Provide a space for you to ask questions about the COVID-19 booster

This will all be facilitated by a young CALD person from MYAN and include a health professional to help answer any questions.

Participants will be reimbursed with a $45 gift card for their time.

Date and Time:
TBC

If you would like to be involved please fill in the EOI. Last date is 12 May 2022.

Thank you for expressing interest in this consultation and discussion! We look forward to seeing you again soon!

If you have any questions, feel free to email Ali Saha, Communication and Engagement Officer at asaha@myan.org.au

Name *

Email *

Phone *

State *

Suburb *

Organisation you are representing (optional)

Ethnic, cultural or linguistic background *

Your Age *

15-18

19-25

26-30

30-35

35+

Gender *

Male

Female

I prefer not to say

Other:

Are you an essential worker? *

Yes

Not sure

Are you an international student? *

Yes

How many doses of vaccine have you received?

Not at all

One dose

Two dose

Both the doses and the Booster

Clear selection

Are you available to attend online in April/May evening?

Yes

Other:

Anything else you'd like us to know?

Submit

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