Application Form - Participant (Queensland)

 

Thank you for your interest in Upbeat Arts Queensland. To apply to be a member of one of our programs, please complete this form.
On receipt of your application, we'll check availability of your chosen program and be in touch with you via the email you provide below.
Our programs are free to access and are designed for the benefit of adults experiencing a mental illness, or anyone disadvantaged or marginalised. Please include details of the person and organisation who has referred you (and/or supports you), ie Queensland Health; the Agency or Service you are working with or being supported by; or a medical professional.

A little about you

Name:

Please choose from the drop down list

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