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Statewide health promotion organisations - additions and updates application form

To include your organisation's details in the Partnerships Resource, please complete the following form.

If you wish to update an existing listing, please fill in the Agency Name and then complete only those fields for which your details have changed.

 Agency name:
 Address:
 
 Phone:
 Email:
 Website:
Contact person regarding health promotion issues:
Name:
 Phone:
 Email:
Your organisation's Mission:
 
Please describe the role of your organisation:
 
Please indicate the specific health promotion expertise and skills which are available within your organisation:
education and training skills development
information provision advocacy
political lobbying regulatory review
community action addressing access & equity issues
environmental action screening/risk assessment
counselling/support organisational development
resource development working with minority groups
working with specific sectors social marketing/mass media
research and development other (specify)
We are interested in collaborative activities your Organisation has been involved with in the primary health and community sector. Please list examples:

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Last updated: 25 August, 2009
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