Registration Form

Your Details

First Name

Preferred Name

Last Name

Identified Gender

Preferred Pronouns

Pronouns are words used to refer to a person when we aren't using their name i.e. he, she, they

Email Address

Phone Number

Date of Birth

Do you identify as LGBTQI+ (Optional to answer)

Yes
No

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:

Have you visited any of these countries in the past 14 days?

Mainland China
Iran
Italy
South Korea
None of these

The Australian Government suggests a period of self-isolation of 14 days if you have recently returned from these high risk countries.

Our information sessions are held fortnightly, on Tuesday evenings from 6pm. If you are unable to attend because you live in regional WA or in another part of Australia, or because there are other circumstances you think we need to know about, select no from the drop down box below and we will be in touch with you to better understand your situation.

Will you be able to attend?

Choose yes or no from the drop down box to indicate your ability to attend our information sessions.

Consent

Foyer Oxford is serious about protecting your privacy. We need to enter your registration details into our database to help us manage the inquiries and applications. No information identifying you, for example your name, will be shared with anyone else without your permission.

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
From a current or former Foyer Resident
From Department of Child Protection
A friend told me
I saw you on facebook
I found your website
Other

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

From a Worker / Other

If you selected from a worker or other, please give us some more information, such as the name of the service or program

Applying to Live at Foyer Oxford

Register for an Info Session