City of Wanneroo

Instructions

For enquiries that are of an urgent-nature that require immediate assistance or that relate to animals, parking, ranger assistance or other community safety matters, please call us on (08) 9405 5000

To ensure a timely and professional response, please complete this form with as much detail as possible.

Your personal information collected in this form will help us to complete your request or to improve our services, in accordance with the City's Personal Information Privacy Policy.

Clarkson Youth Hub - Expressions of Interest (EOI)

Terms & Conditions / General Information / Policy Documents

Please note: Exceeding 255 characters in the relevant fields will trigger an error upon submission. If this occurs, click back to adjust your text and try again, or call 9405 5600 for assistance.

I have read the 'Conditions of Hire - Council Facilities' linked above and agree to abide by the conditions therein (Required)

APPLICANT DETAILS

Name of Applicant (Required)

Pronouns

Contact number (Required)

Email address (Required)

Name of Organisation/Group (Required)

Organisation Mailing Address (Required)

SECONDARY CONTACT

Name (Required)

Pronouns

Contact number (Required)

Email address (Required)

Type of Organisation/Group (Required)

Clarkson's Vision: I understand that Clarkson Youth Hub seeks to create a safe space for youth-focused groups, promoting connection, wellbeing, lifelong learning, and empowerment through a variety of engaging programs and activities. (Required)

Please provide detailed answers to the following: 1) Describe the service, event, or workshop you plan to deliver. 2) Explain how it aligns with Clarkson's vision. 3) Outline the outcomes you aim to achieve. *

Please provide details

Who is your target audience (e.g. young people 12-18 years)? (Required)

How many attendees are you expecting? (Required)

Is your service, program, event or workshop free? (Required)

Yes

If No, please list the cost

Are you selling or providing food during this service, program, event or workshop? (Required)

Do you plan on setting up or adding any furniture or structures not already included at Clarkson Youth Hub? (Required)

Yes

If Yes, please provide additional information (max 255 characters)

Do you plan on using any speakers or musical instruments during your booking? (Required)

Yes

Please choose the type of booking (Required)

Please state the day/dates and times required (please include set up and pack up time if required) (e.g. Mon 9-11am, Wed 2-4pm, Fri 10-11am)

Bookings subject to room availability. We require a minimum of 7 business day's notice

Youth Room

Function Room

Meeting Room 1

Meeting Room 2

Office 1

Office 2

Office 3

Office 4

Preferred start date (if regular booking)

Finish date (if series of bookings)

Anything else you want to tell us to support your application? (max 255 characters)

/eservice