HWEI Submission Request (Mar 2024 - Feb 2025)

Please provide details below to gain access to all relevant information regarding participation in the 2024 - 2025 HWEI Submission.

NOTE: Completing this expression of interest is not a commitment to participate in the Submission. However, if you decide not to proceed, please let us know.

* Organisation Name (Please provide exactly as you would like displayed on results etc.)

* Name

* Position Title

* Your Pronouns

He/ Him

She/ Her

They/ Them

She/ They

He/ They

Another Pronoun

* Primary Contact email

* Best Phone Contact
Please ensure your full number is provided in one of the following formats:
Landline - xx xxxx xxxx.
Mobile - xxxx xxx xxx

Organisation Details

* Is your organisation a member of Pride in Health + Wellbeing?

Yes

No

Unsure

* Sector

Federal Government

State Government

Local Government

Private Company

Higher Education

NFP/Charity/NGO

* Organisation/Service Size

Approximate number of FTE employees based in Australia* as of 1 January 2024?

* Employee Numbers (Headcount)

Approximate number of employees based in Australia* as of 1 January 2024? This may not be the same as your FTE number

* Organisation/Service Reach

Approximate number of clients supported in Australia* in FY 23-24?

How best is the location of your Australian head office described?

This is the location of the highest ranking office that is in Australia.

Capital city - (city centre)

Capital city - (suburbs)

Regional city or town

Rural (countryside)

Remote (countryside and far from any towns or cities)