Breast, Bowel, and Cervical Health-Screening Campaign EOI – Review Panel - Australian Multicultural Health Collaborative

1. Name *

2. Email Address *

3. Phone *

4. Organisation *

5. Role within organisation *

6. Are you a member of the Collaborative? Please indicate type of membership *Multicultural consumer and/or carerHealth and wellbeing, and/or social care serviceHealth and social care practitionerResearcherNot a member but would like to know more about membership options

7. Experience working on bowel, breast, and/or cervical screening programsBowel CancerBreast CancerCervical CancerExperience could also include technical knowledge.

8. Lived or living experience of bowel, breast, or cervical cancerBowel CancerBreast CancerCervical Cancer

9. Experience with multicultural communities *

10. Experience with providing high level strategic advice on Cancer screening programs *

11. Are there any potential conflicts of interest that may affect your application? *YesNo

12. Do you have experience with assessing community organisation proposals *YesNoOther

Breast, Bowel, and Cervical Health-Screening Campaign EOI – Review Panel

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