MPHN First Nations Walan Voices for Health Expression of Interest Form

Please complete the details below to register your interest in joining the Advisory Committee.

Applications open 18 August 2025 and close 12 September 2025.

Title *

First Name *

Last Name *

Phone number *

Email Address *

Postal Address *

Street address *

Town/City *

State *

Postcode *

Occupation

Employer

Business Address

Street address

Town/City

State

Postcode

Why does being a member of the MPHN First Nations Walan Voices for Health interest you? *

What kind of skills, expertise or lived experience would you bring to the MPHN First Nations Walan Voices for Health? *