Collection Notice
    We collect your personal information to determine whether you are a right fit for our programs and so we can contact you regarding your interest.

    This information will be shared with the respective Program Facilitator, in order for them to reach out to you.

    Brimbank Privacy Statement
    Brimbank City Council is committed to protecting your privacy as outlined by the Privacy & Data Protection Act 2014 and the Health Records Act 2001. The information you provide on this form is being collected by Brimbank City Council for administration purposes and in line with your individual support needs. Your information will not be disclosed to any external party without your consent, unless Council is required or authorised to do so by law.

    If you have any privacy questions or concerns regarding how your information is used, or wish to access or amend information previously provided, please send your enquiries through to our Legal and Privacy Officer at privacy@brimbank.vic.gov.au.

    By ticking this box you acknowledge that you/your guardian will email us if you wish to formally withdraw consent.

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