Social Media Champion Social Media Champion Your InformationName* First Last Street Address:* Suburb:* Email address:* Contact Number:* Gender Identity*FemaleMaleOtherAge*15 to 20 years21 to 25 years26 to 35 years36 to 45 years46 to 55 years56 years plusCultural Identity*Aboriginal and/or Torres Strait IslanderAustralianPacific Islander/New ZealanderSouth East Asian (China, Japan, Korea)Southern Asian (India, Pakistan)Central Asian (Russia, Mongolia)Middle EasternAfricanEuropeanNorth AmericanSouth AmericanOtherHow long have you been residing in the ACT)*All my life30 years plus10 to 29 years5 to 9 years3 to 5 yearsLess than 3 yearsCurrent Occupation:* Current Employer:* Your Social Media PlatformsAre you on Facebook?*YesNoIf you are on Facebook, what is your name on Facebook? If you are on Facebook, how often do you access your page?DailyWeeklyMonthlyLess than monthlyIf you are on Facebook, is your page a private personal page or a public page (like a business page?)Private personal pagePublic page (like a business)If you are on Facebook, do you follow the DVCS Facebook page?YesNoI do nowAre you on Instagram?*YesNoIf you are on Instagram, what is your handle? If you are on Instagram, how often do you access your Instagram account?DailyWeeklyMonthlyLess than monthlyIf you are on Instagram, how many followers do you have? If you are on Instagram, is your page private or public?PrivatePublicIf you are on Instagram, do you follow the DVCS Instagram page?YesNoI do nowDo you have a Twitter account?*YesNoIf you have a Twitter account, what is your handle? If you do have Twitter, how often do you access your Twitter account?DailyWeeklyMonthlyLess than monthlyIf you do have Twitter, is it a public or private account?PublicPrivateIf you do have Twitter, how many followers do you have? If you do have Twitter, do you follow the DVCS Twitter account?YesNoI do nowYour Knowledge of Social MediaAre you willing to like, comment on, share, retweet, regram DVCS' posts on at least a weekly basis?*YesNoI will aim toAre you willing to post images and text supplied to you by DVCS on a fortnightly (sometimes more) basis?*YesNoI hope toPlease select which option is a hashtag:*@DVCS2018#DVCS2018DVCS2018Please select which option is the hand you would use when tagging DVCS on your Facebook, Twitter or Instagram:*@DVCSCBR@DVCS@DVCSACTYour Knowledge of ACTName a suburb in the ACT that starts with the letter "C":* Who is the current ACT Minister for Women?* Name two elite ACT sports teams:* Please select the ACT landmark:*Harbour BridgeMount AinslieFlinders StationYour Knowledge of DVCSWhat is significant about 2018 for DVCS?*We celebrated our 20th anniversaryWe celebrated our 30th anniversaryWe received a significant decrease in calls for supportWhat does DVCS stand for?*Domestic Violence Crisis SupportDomestic Violence Canberra SupportDomestic Violence Crisis ServiceWho are three DVCS Champions?*Alan Tongue, Patty Mills, Kristen HenryChristian Lealiifano, Andy Muirhead, Amanda WhitleyAdam Shirley, SparrowFolk, Andrew BarrName four current DVCS sponsors:*In 100 words or less, please tell us why you want to be a DVCS Social Media Champion:*As a DVCS Social Media Champion, I agree to:* Make posts to Facebook, Twitter and/or Instagram in accordance with all reasonable requests made by DVCS, which might be up to or more than once per fortnight. Supply DVCS with a copy of my Working with Vulnerable People card (if applicable). Disclose any personal use of family, domestic or intimate partner violence within 24 hours of such involvement and understand that my involvement with DVCS as a DVCS Social Media Champion would cease immediately. Not bring myself or the DVCS brand into disrepute. Uphold the DVCS Vision, Objectives and Principles at all times, and in particularly when engaging with media and members of the public. Reside in the ACT/Queanbeyan region and advise DVCS if I intend to move away from this region for a period longer than three months. Keep DVCS up-to-date with my email and postal address and a current telephone number. Advise DVCS if I deactivate any of my social media pages. Contact DVCS (on 02 6280 0900) should I be concerned about my safety in my role as DVCS Social Media Champion. Not speak to the media on behalf of DVCS, without the express written consent of DVCS.