Thank you for your interest in becoming a member of PANDA's National Consumer Advisory Committee. PANDA is a mutual support self help organization and as such recruits volunteers who have either directly or indirectly experienced postnatal and antenatal depression. Please complete this form, and return it to PANDA.

Please complete all fields.

What are your reasons for wanting to join PANDA's National Consumer Advisory Committee?

Have you previously, or are you currently, suffering from postnatal or antenatal depression? Currently Previously No

Have you had any other experience with postnatal or antenatal depression?

Employment Details:


What is your current employment (if any) – details of position and organisation


If you are nominated by an organisation please provide the name and details of the organisation plus a name of a referee from the organisation.


Please list any health, welfare or human services special interest groups or associations that you were previously or are currently associated with.


What experiences have you had that would assist you to undertake the role of a member of PANDA's National Consumer Advisory Committee?


What are the key skills you would bring to the PANDA’s National Consumer Advisory Committee?


Provide details about your experience and your skills in consultation with others and communicating others’ views in relation to service development in the health, welfare and or human services sectors?


Describe your skills and experience in consulting with and representing the views of consumers including consumers from ATSI and or people from culturally and linguistically diverse backgrounds?


Describe your level of verbal and written communication skills.


The position requires a relatively high level of knowledge and skill in computer and web based communication. Please describe your level of experience and skill in this area.


Are there any limitation or special needs that you might have as a member of the Committee?


Is there any further relevant information you wish to provide? eg qualifications, professional experience, personal experience as a service consumer or experience in relation to post and antenatal depression.


Many thanks for completing this Application Form.