Expression of Interest for the Queensland Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual+ Roundtable 2025–2027 term

Application form

Privacy Statement

The Department of Families, Seniors, Disability Services and Child Safety is collecting your personal information for the purpose of assessing your application to become a member of the Queensland LGBTQIA+ Roundtable. As part of this process, your referees may be contacted, and your personal information, such as your legal and/or current name, background, qualifications/ experience and other information provided on this Application form, may also be disclosed to the following entities:

  • State Library of Queensland (through the Government Research and Information Library (GRAIL)) so that searches of publicly available information and records* may be conducted
  • Office of the Minister for Families, Seniors and Disability Services and Minister for Child Safety and the Prevention of Domestic and Family Violence.

You may also be asked to consent to your personal information being disclosed to the Queensland Police Service for the purpose of conducting a criminal history check.

If your nomination is successful, some limited personal information will also be used for the administration of the Roundtable and its activities, including for the purposes of promotion of the Roundtable.

Your personal information will be handled in accordance with the Information Privacy Act 2009. Unless authorised or required by law, your personal information will not otherwise be disclosed to any other party without your consent. Information on the department’s privacy policy is available on our website at www.families.qld.gov.au/about-us/our-department/right-information/information-privacy.

*Publicly available information and records that may be searched by GRAIL include Australian and international media sources, company searches of companies that you are associated with and personal searches (including director reports, bankruptcy reports, banned and disqualified directors, register or lobbyists and Queensland register of appointees to government bodies). See https://www.slq.qld.gov.au/plan-my-visit/services/government-research-and-information-library-old.

Required fields are marked with an asterisk (*).

Eligibility

  1. Are you a resident of Queensland? *
  2. Are you over 18? *

Personal details

  1. Title *
  2. Pronouns
  3. Membership diversity

    1. Please select as many of the following groups as reflect your identity

Boards, committees and networks

Organisation details

  1. Are you nominating as a representative of an LGBTQIA+ community-controlled organisation *

Selection criteria

Referee details

Referee 1

Referee 2

Resume/curriculum vitae

  1. (5 pages maximum, file size limit: 50MB)

Declaration

  1. Declaration *

Submit