Registration Form

Your Details

First Name

Last Name

Email Address

Phone Number

Date of Birth

Identified Gender

Cultural Identity (Tick all that apply to you)

Australian Born
Aboriginal
Torres Strait Islander
Born Overseas
Naturalised Citizen
Permanent Resident

If not born in Australia, what was your country of birth and year of arrival?

Country of Birth

Year of Arrival

Care Involvement

Are you currently in Care, or are a ward of the state, or have a DCP (CPFS) Social Worker?

Yes
Used to
Never

Children

Do you have any kids in your care?

None
I'm pregnant
One
More than one

Accommodation

Where are you staying at the moment (which suburb and whose place)?

How long have you got left to stay there?

Income

Do you have an income more than $400 per fortnight?

Yes
No

Where do you get your money from?

Are you involved in education, training or work? Please provide some details:

The first step for applying to Foyer is to attend a Foyer info session - what's the best time for you to this?

Tuesday and Thursday evenings
That won't work because I live far away or there’s another reason (we’ll contact you to discuss times)

Consent

Foyer Oxford is serious about protecting your privacy. But we do need to enter your registration details into our database to help us manage the inquiries and applications. No information identifying you, ie your name, will be shared with anyone else.

Do you consent to being added to our database?

Yes
No

The Specialist Homelessness Services (SHS) Collection needs information to help people who experience homelessness or are at risk of homelessness. Your information will be passed on to the Australian Institute of Health and Welfare, but will not contain any information that identifies you, nor will your information be passed on to any other organisation. Click here to read their Privacy Information Card.

I have read the SHS Privacy Information Card and agree to share my information with SHS.

Yes
No

How did you hear about Foyer Oxford?

From a worker
A friend told me
I saw you on facebook
I saw an ad on gumtree
I found your website
Other

Tick the box to let us know how you heard about us

Other

If you selected other, tell us where

Applying to Live at Foyer Oxford

Register for an Info Session